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Home My WebLink About066-110-050BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13678 ENDICOTT CIRCLE APN: 066-110-050 Owner: MALLORY, BRYAN W. & CHER Permit No: B07-1289 Issued Date: 08/27/2007 By KEJ Permit type: RESIDENTIAL 13723 W PARK DR Subtype: SFD-Custom/Model Description: NSF 1873' GAR 460' COV 80' OPEN MAGALIA, CA 95954 (530) 680-3769 Expiration Date: 08/26/2008 Occupancy: R-3 Zoning: RTl Contractor Applicant: Square Footage: MALLORY CONSTRUCTION MALLORY CONSTRUCTION Building Garage Remdl/Addn 13723 WEST PARK DRIVE 13723 WEST PARK DRIVE 1,873 460 MAGALIA, CA 95954 (530)680-3769 MAGALIA, CA 95954 (530)680-3769 Other Porch/Patio Total 160 80 2,573 FEE INFORMATION CWIF SF $2,132.89 DBFIRE Fire Inspection (SRA) R $102.70 CWIF SF $2,411.06 DBFIRE SRA Fire Plan Review (S $102.70 CWIFAUD Impact Processing Audi $50.00 DBOMSCF Fire Safe Standards Re $115.98 CWIFDDS Impact Processing Fee $50.00 DBSMIP Residential $12.16 DB R3 Dwelling -Custom, Model $1,776.20 DB R3 Dwelling -Custom, Model $1,184.14 DBEH Building Review Fee $75.70 Total Charged: $8,116.23 Fees Paid: $8,116.23 DBFIRE Fire Inspection (SRA) R $102.70 Balance Due: $0.00 Receipt No: B4394 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MALLORY CONSTRUCTION 529792 / B / 05/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior 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 License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: 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. X 08/27/2007 Con of s Sign Date -11, 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 WORKERS' COMPENSATION DECLARATION - — OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hun r�dollars ($100) or less.) I AM EXEMPT under Section B. & P.C. for this reason: 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 08/27/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner's Signature Date X 08/27/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner or am authorized to ad o he property owner's behalf. 08/27/2007 Sigmgw Date WAR NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) N Permi GN] Print Date rrEl bbc� Owner �I Contractor OR. Agent for Owner Agent for Contractor ' /�FILE COPY Lender's Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (5'10)538-7541 FAX #: (530) 538-2140 • A FEE WILL BE REQUIRED AT T11VIE OF APPLICATION Website: www.buttecounty.net/dds BIN # **PLEASE PRINT CLEARLY** rid ARCHITECT/ENGINEER OWNER INFORMATION Last N O First me Mailing dIs 2 3 Ve 1' PKC h ' -,Xn_ City cc 0 it Stt/qL_ Zip Phone Fax X73-- E-mail ARCHITECT/ENGINEER CONTRACTOR Name S o Address 71p City State License Number State Zip Phone Fax E-mail Lic. # s .7 ZI Class ARCHITECT/ENGINEER Name Address City State 71p Phone E-mail State License Number APPLICANT SIGNATURE n /PROJECT LOCATION AP# �fa — l C9 0 Propert ddres City WORKER'S COMPENSATION ' I Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's L compensation must be shown at the time of permit issuance. LENDING AGENCY Name Y� Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage 0 Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): j For office Mont APPLICANT INFORMATION Name S" �t Address I SRA City Occ. State Zip Phone Fax E-mail APPLICANT SIGNATURE n /PROJECT LOCATION AP# �fa — l C9 0 Propert ddres City WORKER'S COMPENSATION ' I Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's L compensation must be shown at the time of permit issuance. LENDING AGENCY Name Y� Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage 0 Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): j For office Mont Zoning Flood Zone I SRA Yes No Occ. Type Const. 14 V�o D 0 - `7 "-) -... .... �: y.-..t:.F.-x�:ti:= �f`S \...i...iFt.....✓�. ^'>�-�+h'.« i--.� ,y'!r. �_ .-..-.:..tr-:..�,, ate..._ �,.E4Y,.,:YV". err- -q.cY i+^� 'i4 -�.� � ..-. -.. � ,�. , .. ., .. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District P ( Building Department No. Tax Rate Area No. A.P. Number v �(p — — (� S (� Jurisdiction: = City County Property Owner Property Location Subdivision Residential Development No of'Living Mobile Home Units Commercial/Industrial New Department Installation Addition Lot No. .................................................................................................... N Sq. Footage 3 Addition/ `Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) € `(No foundation inspection) ': existing sq. ft. see attached :................................................................................................... Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior / Roofed Areas) 1 Date District Identification No. School District certifies that v V (Payor) i117,;z11 A) Z6 '('Sir -eel Address) J (City)— '(State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. by payment of. $ representing , square feet. AB 2926 $ FULL MITIGATION $ elV'714 'Z' School Dis c R.9resentative Date Paid by Check # Remarks:6�0�� Q Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 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. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) A PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s)L5 Project Location /Address Subdivision Name -r/a- os® U E�d/ Building Pen -nit Number 807- 1 a Assessable Sq. Ftge f g Type of Residential Development (check one) New Development ✓eoSingle Family -Detached Single Family -Attached 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: ❑ FRRPD ❑ CARD C tPD D DRPD certifies that: / .i I of "i — v r_,Z1W yi w L� Phone Number - -3:76 Has complied with requirements of the Butte County Board of Supervisors Resolution No. nq 19 a by Payment of- Dwelling Units @ $ per unit for a total of $ 7 3 Square Feet @ $ S per sq foot for a total of $ 236, S^_0 Remarks: Paid by Check No: / Paid by Cash: Recreation/and Park District Representative Receipt No: 3 q -3y 9 / 7 //1 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1289 Date: 6/13/2007 Location: 0 ENDICOTT CIRCLE By: GLB Parcel Number: 066-110-050 Sub Type: SFD-Custom/Model Owner Name: HENZE RODNEY & SHIItL, Phone: Description: NSF 1870' GAR 440' COV 56' OPEN 160'- TO BE MASTERED The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 11 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 6/13/2007 FILE Butte County Department of Public Works J. MIGHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538=7171 Fax www.buttecounty.net/dds . National Pollutant Discharge Elimination System (NPDES) Phase tI Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1289 Date: 6/13/2007 Location: 0 ENDICOTT CIRCLE By: GLB Parcel Number: 066-110-050 Sub Type: SFD-Custom/Model Owner Name: HENZE RODNEY & SHIRL, Phone: Description: NSF 1870' GAR 440' COV 56' OPEN 160'- TO BE MASTERED By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined witch 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 Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: r i Title: FILE Date: 6/13/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1289 Job Address: 0 ENDICOTT CIRCLE Contractor: MALLORY CONSTRUCTION 13723 WEST PARK DRIVE MAGALIA, CA 95954 Printed: 6/13/2007 9:57 am Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF SF CWIFFIREVE SF 1851-0-280-1011853 $707.16 CWIFPWRDS SF 1831-0-280-1011001 $1,337.55 CWIFFIREF SF 1851-0-280-1011852 $366.35 DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Permit F( 0010-440001-4210500-1010 $1,776.20 DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,184.14 6/13/2007 $1,184.14 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 6/13/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 6/13/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 6/13/2007 $102.70 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 CWIF SF CWIFSHERFVE SF 1840-0-280-1011842 $152.72 CWIFGGF SF 1808-0-280-101001 $664.81 CWIFGGVE SF 1810-0-280-101001 $306.61 CWIFLBRYF SF 1825-0-280-1011826 $240.89 CWIFLBRYM SF 1825-0-280-1011827 $162.04 CWIFLBRYV SF 1825-0-280-1011828 $4.83 CWIFSHERFF SF 1840-0-280-1011841 $312.99 CWIFSHERFJL SF 1800-0-280-1011811 $288.00 DBSMIP Residential 1001-0-280-1011298 $12.16 89116.23 $19465.24 Printed By: Gwyn Benedict Balance Due: $6,650.99 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature:. Date: 6/13/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protst. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau Reference Number: B07-1289 - Location: 0 ENDICOTT CIRCLE Parcel Number: 066-110-050 Owner Name: HENZE RODNEY & SHIRL, 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Date: 6/13/2007 By: GLB Sub Type:. SFD-Custom/Model Phone: Description: NSF 1870' GAR 440' COV 56' OPEN 160'- TO BE MASTERED To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ .Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention. Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on. enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 6/13/2007 Date Rev'd 5/7/07 CX/ �tl 0 0, nature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at h_ttp://buttefire.org/Fireprevention/protplan/protplan.html . FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http:Hmunicit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1289 Location: 0 ENDICOTT CIRCLE Parcel Number: 066-110-050 Date: 6/13/2007 Owner Name: HENZE RODNEY & SHIRL, Phone: Description: NSF 1870' GAR 440' COV 56' OPEN 160' - TO BE MASTERED Signature of Property Owner: Date: 6/13/2007 jV FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party 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 yourself, 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLS13(2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) or 2. I(HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CO TRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK NAME ADDRESS CITY PHONE RACTORS 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 Description: NSF 1870' GAR 440' COV 56' OPEN 160' - TO BE MASTERED Reference Number: B07-1289 Applicant Name: MALLORY CONSTRUCTION Owner's Name: HENZE RODNEY & SHIRL, AP 4: 066-110-050 Signature of Property Owne . Date: 61 — �� .. "P'._�s,�r„'?7_ .,";ej;.'�,#`17to?„ i ah'i?� .!•g°: �',.='�'t. F ;�1, .. v '�r, ti :.:1vT'F Frn-r�"''G'r >.. r�:,��::. .�+;': n- ca r.,. t-. ... _tea. :.�,,��`�'�•: �" COPY of Document Recorded - AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 28 -Jun -2007 2007-0031285 Has not been compared vlith 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: LOT 169, AS SHOWN. ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB ESTATES UNIT 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 13, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 61, 62 AND 63. EXCEPTING THEREFROM'ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA Date . b PROPERTY OWNERS: 13 U3e_f— I T 1ck_or y State of California County of . `� -e-- On before me, �c I personally appeared VYA 61- ersonally known to me (or proved to me on—die basis of satisfactoryevide 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 eal: AAAAAAAAA MARSHAVIERRA 9 _ Gomm. #1530556 ` A.P. # C l V — I % y ' �" jR ®� ° NOTARY PUBLIC CALIFORNIA 0 V % BUTTE COUNTY ky Commission Expires Nov 27,20M LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1 a) (9199) VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted Date Expires The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, d additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: 13-72— Name �� Address f J -7 Z— 3 City SIGNATU Zip�S Phone e 7,3..r 1355 Date &— -07 TIMBER TAX EXEMPTION: Timber own6-5w"e timber yield tax whe6 they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116). -Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE'Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1.800-400-7115, or write: Timber Tax Section, MIC: 60, State Board -,of Equalization, P:O. Box 942879, Sacramento,. California 94279- 0060; or contact the BOE Web Page on the Internet at http:llwww.boe.ca.gov. A. Circle the option th_ estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log): Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to'be removed during this harvest will be: A. Redwood %; Ponderosa pine/Sugar %; Douglas -fir %; Fir %; Port -Orford Cedar %; Cedar (IC, WRC) S %; .Othpr, conifer %; Other, hardwood s%. >l`�2. TIMBERLAND OWNER(S) OF RECORD: N� ke - Address I `0'` City � State `fl Zip � � J Phone _203-139-5 I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona fide intent" [14 CR 1100 (b)] to convert to /Ft and that 1 have mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacentwners within 300 feet of the boundaries of the exemption. SIGNA ?-F,) 3. LICENSED TIMBER OPERATOR(S): Name Gene .Teffrey Rallc . Lic. No. X73.-12 Address P-0- Box 432 City Forest Ranch State CA Zip 95942 Phone 5510 343-7341 SIGNATOR Date1� 4. Designate the legal land de pti thetion of timberland conversion. �A'map showing the,location of thelimberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of theconversion,location and classification of all watercourses, and landing locations. SectionTownship Ran a Base & Meridian County 'Acreage to be Converted Asses s Pari I Number 050 Page 1. NOTE: This form has two pages. Continue on and complete'Page 2; Read the instructions before attempting to complete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the stale rules and regulations may be found on CDF's Web Page on the Internet al http:llwww.fire.ca.gov. B. All limber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgement. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit (e.g. county, city). G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and the Director's acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants.or animals or species of special concern shall be disturbed, threatened, or damaged. I. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion ��Report to the ;rest r. 6. I, ) declare as the authorized designee of the County Board of Supervisors that this conversion exemption is in c nformancd\vith albcounty regulatory requirements, including public notice. (If the county has authorized a desig�ye'fJs'Item MUST b c mpleted. If it has not, see item 7.) SIGNA Date 7. Registered Professional Forester preparing Notice: Name Ryan .T_ WKillnp Number 2675 Address P.O. Rnr 183 6`� o/o_) City Brownsville State CA Zip 95919 Phone 530 675-1359 I certify that I, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that I, or my supervised designee, contacted the county and the Notice is in cotigormance with county regulations. SIGNATURE of RPF �ti'� Ji Date 8. NOTICE SUBMITTER(S): Name Address 13 77-3' W co!� 10,0 City AE.� P _i IN Stat�ip S ' Phone IBI/ /3^�J x Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE Date d (o — ? 1 FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR Humboldt: Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, => 135 Ridgway Avenue San Mateo. Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskryou, Modoc, Shasla, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, r,_ => 6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties.:- s : ' _> Redding, CA 96002 3 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Eresng;;jtiaCe, => 1234 East Shaw Avenue Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties.=> Fresno, CA 93710 ,c', . . Venturb. Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 Winter Operating Plan: As per 14 CCR 1 104.1(a)(2)(E), timber operations may be conducted during the winter period. Tractof operations in the winter period are allowed under any of the following conditions: 1. During dry, rainless periods where saturated soil conditions, as defined in 14 CCR 895. 1, are not present. Erosion control structures shall be installed on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours. As per 14 CCR 895.1 — "Saturated Soil Conditions" means: that site conditions are sufficiently vet that timber operations displace soils in yarding or mechanical site preparation areas or displace road and landing surface materials in amounts sufficient to cause turbidity increase in drainage facilities that discharge into Class I, II, III, or IV waters, or in downstream Class I, II, III, or IV waters that is visible or would violate applicable water quality requirements. In yarding and site preparation areas, this condition may be evidenced by: a) reduced traction by equipment as indicated by spinning or churning of wheels or tracks in excess of normal performance, b) inadequate traction without blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in a receiving Class I, II, III, or IV waters, or d) creation of nits greater than would be normal following alight rainfall. On logging roads and landing surfaces, this condition may be evidenced by a) reduced traction by equipment as indicated by spinning or churning of wheels or tracks in excess of normal perfonnance, b) inadequate traction without blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in a receiving Class I, II, III, or IV waters, d) pumping of road surface materials by traffic, or e) creation of ruts greater than would be created by traffic following normal road watering, which transports surface material to a drainage facility that discharges directly into a watercourse. Soils or road and landing surfaces that are hard frozen are excluded from this definition. 2. When ground conditions in the conversion exemption area and appurtenant roads satisfy the "hard._ frozen" definition in 14 CCR 891.1. As per 14 CCR 895.1 — "hard frozen conditions" means: those frozen soil conditions where loaded or unloaded vehicles can travel without sinking into the road surfaces to a depth of more than six inches over a distance of more than 25 feet. 3. Over -snow operations where no soil disturbance occurs. ' 'I t t!l � j Ir' �--� J m� n ( `\\' ,I,` �,'' f i (� i r � ''-1 � \ ' •.-� ,��% Q+'/ `�/;-^ ,1 i //, %./ ! �1% i •�-- •i�/l �/%r� l�i� ' I �� ;/� i!hti ii .;: •C�`�' "1 r /// 11 ( I( ! �9<4 • 1 ,L248S\,\�';`. ' :71 I � \II I � �1=_` �_ %�• ii C', ' I� r--; ''tt 0.'I; jl�-'�� // C II 1l 9, ` •i rc 2494�`, , \ �: `\ �117 1 i /ll�!' �, ^ ({ 1' ; � , I %J . II1�'/� � �li'�� 1'' �` ,;, '):l .l% /�i�\\`.:' �-, �C, 1',-__A�'`It t i . �I i 111 ti: �,I •� ( J�C�:�i ,�/ /�-",�""-� �,' � r��l :f�� ! �1` _; -,% i, ��_- ' ! ,_ �'J !, !�� -�� .� �(t II i� i ---/��`�� , rea' ra 111 ''' /! 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D \��.;� �\ ` '• ('�. �\ PA RA D ISE PINES COUNTRY CLUB ESTATES UNIT NO. 2 lox Area Code sin y' / S�lg4 � 0�2 a l3 0�� 2 N�p� s9 11c4 � ab 5�'E �4o?pF oy1 6 s a4d N72o1758°£ N00 104.00 7500 75W 7500 60.00 65 /3 AC . 39 v 3 38 g 3t 37 � 36 v 35 Z N /4 z N , 0 9 /0 1� 06 40 /2 y6 4 W O N h O ,25 AC N �� W' O N .22AC �1 4� z•� .27Ac "� "� .27AC yj .23 AC v .23 Ac h V o .23 AC .3/Ae N� w S 6 ' tt Si .27Ac �` 4 N45° ` O i O ` $ 9O ~ 2 /O // 65.00 a 42 O y 7 •om��`" 60.33 78.3/ 75.45 J 90 N54o,n N� 65o1304'E 4o6''Z 0 64g1 N72°l75 E 2•Bga pc 134.07 N B a 10 43 y l�27 AC '�•i°s 4O ZS (� 3 /7 4 v, CT1 j .22 Ac .�o .27 Ae O 5.00 N72°1758"£ 26 25 $ j30� E g- •52 E �/ 113.56 E 'v. /5 C� p6o06 u+ 90 y �Ja O. .6Sp0 N46o06� M ��p �� 4 A�a°6 °d � .29 AeZgpO N 7 $ +� 44 �,� e� IGQ 0 37 v a�� N 33 $ 406 0 /B 22AC is .27 AC EN�N s m .Q4po 0 36 m m 22 ?a N 24 Z$ O Iop O E m_ 1271 NbsOab o NA 4B 1,? •� `$ qAPa c t1 $ /97 x 173 55oi 47 • Km m 172 0¢ 174 Z'o123 61 E $ Nq6° pcE m f 5 m N4� /7/ 8 75 m Q�p� E $ j25�3ZE m m o06 mo N"" O Z Nq6 r-/70 $ 2Z 76 / pa j250p,� E m /69 $ 5b QQpoe V. j20 op32� Ng6o0 3Z D N46 09 a P P. Country Club £rlolss Unl! N0.2 Rec. /3 Oct. 1971 38 MO R 61 -62-6J COAWE-9510^No �th�t0a�a /6 .V 11oo zp � Nq6 6 8 3/�$ lZop�6 m 22 Ac p60 20 Pc N .22� (5-A $ 1303 250032 �� /B Nab 30 a$ NZ E m Z 25A0 E /9 ,22 Dc \-Stipc 29 3/ �ca8 Np6 yZE /2 Assessors, Map No. 66-11 County -of Butte, Co/. January, /972 Jar, C�7 l]; UI:c;5w- Brjan MaIior!j 530 873-5092 E N D I WT C"' I R%o'%.R L E i l $430 531 28'1 . n I ) c� _ — Mo I : r, L, LL > i�_ flt I A 9.5 7 —�• 1 � H I ` � 69.57' 80.' NEW FENCE N430 53' 2A"Vv Fcn,u,ac<u„F I �= &WNMA�Lj of C�l61ZSt�� . �XEMP't'Jo� RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Bryan W. Mallory and Cheryl M. Mallory 13723 W. Park Dr. Magalia, CA 95954 RecordedNO al eenrd_ T 00unty of i Butts i pini l€tis= 3. F�FUBEP C�aunt.y tler[:-Recor'deri I i C @5:@e.AM 13 -jun -2w/ i Pats ns Space Above This Line for Recorder's Use Only A.P.N.: 066-110-050=000 File No.: 0402-2783268 (MT) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $97.90; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $. X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Rodney G. Henze and Shirley Henze, as Trustor(s) and Trustee (s) of The Rodney and Shirley Henze Family Trust, dated March 11, 1996 hereby GRANTS to Bryan W. Mallory and Cheryl M. Mallory, husband and wife as joint tenants the following described property in the' unincorporated area of Magalia, County of Butte, State of California: PARCEL I: LOT 169, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB ESTATES UNIT 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 13, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 61, 62 AND 63. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, AND E, (THE COMMON AREA) OF SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT 2 AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV AND COUNTRY CLUB ESTATES UNITS 1 AND 2. Dated: 06/06/2007 Mail Tax Statements To:, SAME AS ABOVE �i L A. P. N .: 066- i19-050-000 Grant Deed - continued Rodney G. Henze and Shirley Henze, as Trustor(s) and Trustee (s) of The Rodney and S y enze Family Trust File No.:0402-2783268 (MT) Date: 06/06/2007 STATE OF )SS COUNTY OF On ( / , before me, NotC- LrPublic, pers�Anally appeared �jb N , i� ZI ;Vii►,, I- I" k6 e A personally known to me (or proved to rrfe on the basis of satisfactory evidencel to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sh<�Yecuted the same in his/heuthorized capacity(ies) and that by his/her ei ignature(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 My Commission Expires: .D Notary Name: Notary Registration Number: This area for offi'da�l notarial /seal Notary Phone: 7 4 7 n 3 County of Principal Place of Business: 9�. DANNY L. AYE ~ COMM. # 1483461 Notary Public California ORANGE COUNTY My Comm. Expires April 28, 2008 Page 2 of 2 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive i :..-.0 PY Oroville, CA 95965 (530) 538-7601 Telephone t } (530) 538-7785 Facsimile .�U;,_ www. b u tte co u n tv. n et/d d s DE -01 i NT REQUEST TO USE PEX WATER PIPE Building Division approval required prior to the installation of PEX water pipe Permit Number: B07-1289 A.P.N. 066-110-050 Date: 7-19-2007 Property Address: Endicot Circle PEX Manufacturer: Viega North America City Magalia Zip 95954 Manufacturer's Phone Number: 1 -877-VIEGA-NA Installer's Name: RrIzan Ma 1 1 c)y Installer's Phone Number: 530-521-5623 I, RrVa n Mallory request approval to use PEX water pipe at the above address. Print Name 7-19-2007 wner's Signature Date Contractor's Signature Date License Number Under Section 301.2 of the California Plumbing Code (Alternative Materials and Methods) the Administrative Authority may allow the use of PEX tubing for both hot and cold potable water distribution. After careful review of all the information submitted and additional surveys of other jurisdictions allowing the use of PEX tubing, we have come to the conclusion that PEX tubing is a viable alternative under the following conditions and requirements: 1. All PEX piping must be listed and approved by ICC, IAPMO or other nationally recognized testing and/or listing agency. 2. All PEX piping installations must comply with the manufacturer's listing/s and installation instructions. 3. A copy of the installation instructions must be made available to the field inspection staff on site. 4. All PEX piping shall be kept clear of recess light fixtures, heat conducting flue vents, ducts or other materials that could cause physical damage. 5. All penetrations in or through fire rated assemblies shall be protected with an approved listed system. Submit evidence of such listing prior to the installation of all piping. (Including manifold/s installed in the garage occupancy separation or firewall). Approved by: Dater Administrative Authority Distribution - Building File — Property Owner - Contractor 131-0' 11,4r '-0" se,sm sere,e 14'-0' 3'4' Z n ' O 1/2" X 10"— 2X2X1l4" ~ O m V ANCHOR BOLTS 6" WASHER r vA®zo.a a @6'O.C. _ 2X4 PTMS MIN. LT Z _ "1' V 2- #4 REBAR I o ALL STEM%eeE+u a n°. m ? m WALLS, TYP. i I 0O V J W a ` 2X8®lir O.C. TVP to 19%t8%,3 RER9 FOUNDATION, °amino. I I a a s � I m� a I a a I Z yr co '' �mrnc a m PTMS BLOCK I Q ssre,e ss,e,e �m a U. II L_ TVP. GARAGE PIER 3 -------�I — — — — Sia FOUNDATION DETAILS SCALE: 1"= V-0"este sere +e a 23�FOUNDATION W = m SCALE: 114"= 1'-0" g N m a Revislons - PAGE 3of6 �a ss� 44r /1 taa � I 8 m - - F _ w o -w z C. - —8 ch n o0 r D ea z § 4 n r I i A II 101 Oil 4 0 O o $ h 4 4 rza as »•a 37-M A m SPEC NOME ON ENDICOT CIRCLE MALLORY CONSTRUCTION v CEILING JOIST Enaicol Clore pOAp oz_i6g 13723 West Park Dr. Phone 680.3769 m Magalia, CA 95969 App 066.110.0 0 Magalia, CA 95954 Fax 8735092 eta saw° eta Tr irr � ml, x ...I o molu r i n ' Z ,e \11 g � � D 4 ® i n ZLJ- 0 � a $ f 4 4 rza• g� rra• 3za N m SPEC HOME ON ENDICOT CIRCLEMALLORY CONSTRUCTION v EaaiCat Clyde PDA# 02.169 RAFTER PLAN 13723 West Park Dr. Phone 880.3789 Oa ,�, Magalia, CA 95969 App 088-110-050 Magalia, CA 95954 Fax 8735092 I m "ll I a I D BACK LEFT mrorcmmer,x. ix10 ,xe ws®rn a.c>xmem°oc wwn mvn�c�W� -2X CROSS un Wim. o wwva�a°ma.1t° moon m. vrx,»rnm ,wearoalawau ricoimo ,w wn mva m. wro.�auna+wa°n aeme�oora Dmf,lf Wg91E3i 2xx VfNB. amlem, �� nN+eNoO it wrd�n• .,m.momm.mm � CROSS SECTION RIGHT V Revisions SCALE: 1/4" = 1 FOOT PAGE 6 of 6 ss$ 57$ 4•$ ® �4CD iB$ 4m E � 10 a a T z4•$ li $ q�Pf /�� 'I � / 4 E 9 E 0 VI D ° ®' m 4 i � tz$ a•$ tr$ i o jig SYaQ YY a� Ya�C n na m SPEC HOME ON ENDtCOT CIRCLE MALLORY CONSTRUCTION Enr9cot arae PDA„ oz -,68 FLOOR PLAN 13723 West Park Dr. Phone 690.3769 m .�° Magalia, CA 95969 Aq, OGB-„D.05p Magalia, CA 95954 Fax 8735092