HomeMy WebLinkAbout066-180-002NOTES RESIDENTIAL
• � _- - , .--r-••-�.m-'":---'.�.� 03-0668`
PERMIT NO.. 066-180-002. � t
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RDI
HpNG,
ANDOVER DR, MAGALIA
� 13 ?
NEW SINGLE FAM
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J,
t
i
1 "
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
1 VERIFY
r
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
r
Address
GAS
` Meter B �.�Date
ELECTRI /?
Meter By Dat/�i��
t
JOB FINALED (Date)
Signature ��—
J=OK
0 = Not OK
. = NotRaadyable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ /' Nat..or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
.11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date . Card B-1
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test=Crossovers-Breakers-.Clearances
5.
Drain; MH Test -Fall -Flex Connector.
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged'
9.
Exits
10.
License Decals .
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS .�
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements 1 _
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing • c .
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures .
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
.11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date . Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
t.2- Ft ., ain; Soils -Elea, Grnd.-/ /" Ftg. Depth
LI..-,Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. F orches & Decks; Soils -Steel-/ /" Ftg. Depth
i Stetn�lls, Main; Steel- Bloc kouts-Wrapped
C&r Hold Downs and Special Anchors
7. Slab.Steel-Wrapped
_r8 is=Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
1,0 ,Gas Pipe; Size Anchors -Yard Gas Piping;: Size Test
1p_,—Water Pipe; Test -Anchors -Regulator -Service Test
12. Eleptric Underground
1 e ums & Ducts; Clearance -Material -Support -Ins.
ers-Sills-Anchor Bolts-Joists-Vents-Crippies
1 Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
DateJ7 Card B-1 Date Card B-1
Date PLUUMNIG (Permit) OK except #'s
iter Htr.; Vent -Access -Combustion Air Baffie
K. er Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. T ub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELEC CAL (Permit) OK except #'s
. FixtGre &Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
foxes & No. of Conductors Stapled
mex Installed Close to Edge of Studs & C.J.
g . E 'p: Ground made up w/Mech Fasteners -Bond Gas & Water
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. ervice-Riser Conductors & Ground Main Disconnect
33. E' i . Clearances Panels-Motors-Mech. Equip.
34. o 'es Closet Light -Shower Light -Spa Light
5 moke Detector
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECH CAL (Permit) OK except #'s
8
Acts Insulation & Support
371*"Vent,Fan, Exhaust above insulation
ondensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
9
40 is Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING,(Permit) OK except #'s
Materials & Anchors
40eValys-Studs-Nailing Spacing & Braces -Plates -Sound
e 'rig Walls over Girders & Floor Nailing
4 r p in Walls (rat proof)
46/ it tops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date
4?'qaKg-ers-Post Caps -Anchors -Connectors
4 -. Cli g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
4 it place Ties or Type A Flue -Fireplace Throat Clearance
5 qjr,Wccess; Size & Romex Protection -Draft Stop -Ins. Baffles
5 . dr . Windows or Exiting Doors -Sill Ht. & Dimensions
ar a Fire Protection Framing-1496hanrl¢r
9p�rty Line Firewall & Openings
5 xt. Doors -One 3' -Check Garaoe 3rd Storv. 2 Exits
55. St ' ' idth-Headroom-Rise-Run-Landing-Fire Protection
lyyvood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
_5Br3tu -Mesh-Drip Screed -Fd. Vents-Underflr. Access
¢ lazing Area -Glass Protection -Skylights -Plastic
60. PILeE Walls; Nailing -Bolts
nN4W i3 a Interior/Exterior Wall Panels
Datey_tw Card B��' Date Card B-1
Date Card B-1 -' Date Card B-1
Date FINA ans OK except #'s
teps-Door & Sidelight Protection -Landings
rtSRe Detector
65- Furnace Vents -clearance -Comb, Air-Connector-
_larage; Above Floor-Ducts-Mech. Protection
room Exiting
.I. & Bath Fixtures & Tub Access -Spa
. Trim & Subpanel, Breaker Sizes & Labels
airs & Rails
_Peplace or Stove, Clearance -Hearth
V'. _,FWc,,Outlets at Wood Panel, Int. & Ext.
. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Pe`c. Outlets & Receptacles at Kit. Counter
7 rage Fire Door; Swing -Landing -Closure
Duct in Garage -Damper
. Wtr Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in arage; Above Floor-Mech. Protection
Ib.; Elec. & Mech. Equip. Listed for Location
1�1,e6c. Receptacles in Garage (F.F.I.)-Romex Protection
89,."1 n'ation-Foam-Looked in Attic
Cyiard Rails & Deck Construction -Post Caps
P?rFdn. VIR—ts & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked unde Floor ❑ Yes
-83. Followinq Instld./Drive 3fes O No/Walks O Yes O No/Planters O Yes ❑ No
8.
A.C. Unit Disconnect, Electrical -Plumbing
V nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8
ter Well, Disconnect, Electrical, Plumbing
E rior Elec. Trim, G.F.I. Receptacle -Underground
Ven 'lation Throughout House
las Protection
9
o ections from Previous Inspections
9
a2 Test -Meters Tagged, Gas -Electric
9
a er & Sewer Connected -C/O to Grade -HD Approval
n y Compliance Certificate -Other Certificates
Address Posted
�-Fint9firificle
Date
Date
Card 13-1 Date Card B-1
Card B 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, C&i forni# 95965 • Telephone (530) 538-7541 �� T_�
(Rev.12/96) APPLICATION AND PERMIT ��
ASSESSOR PARCEL NUMBER
066-180-002
ZONING
R-1
BUILDING PERMIT
OWNER
V HARDING JIM JR.
TELEPHONE
872-8237
SO. FT. OCC. BUILDING VALUATION
1749 R 94,068-00
. OWNERS MAILING ADDRESS
5797 ACORN RIDGE DR. PARADISE
7,990-00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
350 PINE6JOOD DR. PARADISE CA. 95969
CONSTRUCTION LENDER
NQNE
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
-Filing Fee $
20.00
Permit Fee $
660.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
9-1.00
BUILDING ADDRESS
ANDOVER DR. nkGALIA
Energy Plan Checking Fee $
23.00
$
C.E =!'
PERMIT FEE $
726.50
LOT NO.
o
SUBDIVISIONS MIME
_
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 91
7.00 3.00
Solar or heat pump water heater
23.00
Water piping
15.005. QQ
Each as water heater or vent
15.00 9.00
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 3 BED ROOM, 2 BATH & GARAGE
MASDTER PLAN ;'r 97-56
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 5.00
Mobile Home I S G W
@20.00
PERMIT FEE s
143,00
SNOW LOAD: 2000-2500 ft. FLOOD: X,04000 SRA
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
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 in full force and effect.POWER
License Class 1� Lic. No. 2 3 �
OWNER -BUILDER DECLARATION
1 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
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 insur nce carrier and policy number are:
Carrier �a-aOacc JF p0a6SS
Main Service 200A TO ,000A
46.00
NEW CONST. DWELLING OCCUP.
NG
OR ADDNS. ( 8 ACC. BLD S.
s0
3.50 Fr- 76,35
NON•R61�D. MULTI.OUTLET
Ca 7.50
APPARATUS
8 SINGLE OUTLET CIR.
ZO O 1.00
Ex. Occup. OUTLET OR FIXTURES BAL o .50
Ex. Occup. o XUTEE' pESID)0EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 119.35
MECHANICAL PERMIT Fling Fee 20.00
Heating + GAS FIRETLAQ% 1x15.00 30.00
Cooling
Hood
6.50
Ventilation 3 4.50 13.50
PERMIT FEE $
Policy Number 17 8 - O 1
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 J
Sig tur f Ap ' ant -;9 Owner IT Cactor ❑ Agent
An OSHA permit is required for excavations o r '0" deep and demolition or construction
of structures over 3 stories i heig t.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
R 3
CONST. TYPE
VN TOTAL FEE $ ,1 119.85
H Z
IMP
FLOG
C F
PAROL
/
PQ
/
H�
ISSU
This permit is h eby issued under the applicable
of e utte County Code and/or Resolutions
i dicatfor ich fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
g
401,9_5
t/-/ 0 y
to
Receipt No. 369783 - %
WHITE-D.D.S.-B.D. CANARY -ASSESS PINK-INSPECTORI -GOLDEN ROD -APPLICANT
M
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
PROPOSED DING USE �/ t
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
/ Revised Plan Checking Fee .............$
l_// 2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
LZ 3. SHERIFF FEES aid at BuildingDivision
(paid
) 2 �6
Residential ...................... $360.00 = $_L&.
Units
Commercial (sq. fr.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
kal
5. RECREATIONAL DISTRICT FEES
-A,�%—<
(paid at District Office) (Available after Plan Check)
DATE 3 6 -e 3
RECEIPT # DATE REC.
3-75929 A)
yIIa 3
3 7522 9 Y/z z) /3
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. S FIRE INSPECTION AND PLAN C
3 �(
$89.00 (paid at Building Division)
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 changed during the plan checking process:
APPLICANT
DATE
Pursuant to Government Code Section0 , 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 dxfs from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6/00)
.v. �--..�a,W,....,gF.c,.-,�:.�...,.. .ww, f-st� s.--.�- - ...- R-•- - . ,.,. � r.e+ . �...R - _ -..-.. �- � .......,,,`..,,SFr. -ter
' >s. COUNTY OF BUTTE -DEPARTMENT O`F DEV LOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:// l�Yff� r 'v iJ/� V r` ASSESSOR PARCEL NUMBER vv� ` IkO 150 °2
Proposed Building Use: ✓ Counter Technician: f' Y Date:
Items re uired 'n order o apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
,V 1.. Plotplans,plans or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of -the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line. information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7._ 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 b the he en ineer.
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
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 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.)
[8' 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
1 Statement of Intent for Non -heated and A/C Buildings ................................... ..
1 6. Sanitation and plot plan approval from the Environm tal Health De me t in �7 � 01
❑�1 1 City of Chico Plumbing permit ............................ . .
6 l8. California Department of Forestry plan approval aid. Sent by: .................
❑ 19. Planning approval for (A) Use: a K (B)Parking: (C) arc 1 Check: 3 _) 7 _ C -S
Contact Land Development about ❑ Improvements, ❑ Drainage ............................... -C3
1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to Occup c .
Li 2. Pre -Inspection for required ................ r
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 21. O ner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Wetter of Signature authorization....................................................................
Recorded copy of Agricultural Acknowledgment Statement ....................................
0 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, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
i
Applicant: Date: y ` 3 -0
1. Index permit application for theea�e items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, -by Date:
Plans reviewed by: Date: Plans approved by: Date: O
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date: f
Yellow: Building Division
w !'
TO.: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
A
E.W. USE ONLY
Plot Pan Anechud c5
Flout Plan A a
Sana is B.D. /
r
J �m /���r/,d-b, S/' Z5 - #/3gAa,�L 115-�
Owner JLocation AP#
Plan Approved for: Sewage Disposal X Water Supply: Public X Private Well
Clearance for X dwelling. Other 3 ZV.& &15ift
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
M
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District ham' U, V
A.P. Number ! n i�a 60z,
Jurisdiction: City
Property Owner
Property LocatioNAddress L�Y\t.0 i�jll'/L
Subdivision
Building Department No.
County
Q
Of
Lot No.
...............................................................
...................................................
Residential Development s Sq. Footage
No f Living Mobile Home AdditioN •Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation inspection):
Commercial/Industrial
s. New. Additiork
Sq. Footage
r , (Including Exterior
i Roofed Are
Date
District Identification No.
(Street Address)
(City)
(Floor mans reviewed by 5cnooi District Personnel)
z _ 17re, Com"
Of
��7 ZO 17LZ,1a,,,
(Applicant)
k77A 7
(Phone Number)
School District certifies that
has complied with the requirements of Resolution No
-71—/,2—square
representing
feet.
School District Representative
Paid by Check # ? Remarks:
(State)
. _ 5
(Zip Code) F
by payment of $
AB 2926 $
FULL MITIGATION $
y ---/o
Date
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 (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
e
"AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
20 -Apr -2003 2003-0022622
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code, required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or, discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
SEE ATTACHED LEGAL DESCRIPTION
Date A//o��03 S:'
ROCHELLE L. HARDING
State of California
County of "-au--V2_
On kP n 1 0,2-M-3 before me,. }-ve_ � & i (gip rn 2-a I ivAUv_f
personally appeared k.pGV'�- \X p L. ')AG1pC'�personally
known to me (or proved to me on the basis of satisfactory evide e) 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 signatures) 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 se I.
Signature Seal: ••' °'>M HEIDI GOMEZ
.,�
O Q Comm #1397691 M
/1S z ®� ° NOTARY PUBLIC CALIFORNIA 0
A.P. #_ �(c(e —� f;!) ��, v BUTTE COUNTY —t
MY Commission Expires Feb. 2, 2007
c
Preliminary Report
Description
Order No. BU -206172-2 CH
The land referred to herein is situated in the State of California; County of Butte, and is described as
follows:
PARCEL I:
LOT 13 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB
ESTATES UNIT NO. 3", 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) .64 THRU 68.
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 OF THE
LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF
SAID LAND.
APN 066-180-002-000
PARCEL II:
A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F AND G (THE COMMON AREAS)
OF SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 3, AND THE LOTS
DESIGNATED FOR COMMON AND: RECREATIONAL AREAS AS DESCRIBED IN THE
DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV AND
COUNTRY CLUB ESTATES UNITS NO. 1, 2 AND .3.
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.html
6% -ooC-0
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone 530 538-7157 Ext. 2016 1(2302-6.6
Permit Number
E
District
p 1'
I
APPLICATION
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted.
1. Applicant's Name:
1 a. company Name:
2. Address:
cZ:L-i V -11V b
3. Phone:
4 -Assessors -Parcel -Number.
5. Location of Work to be Done
-Sclrz r- i �.� 13C-74 Vv r Y, 7r.
6. Applicant's Signature7.
_
Date:
CONTRACTOR'S INFORMATION
8. Contractor's Name
l� r�
9. Address .
S 4 c'6 .-J ,o c»
10. Phone: —'aZ-3�
11. Fax: S-�U — (a -Z-7 —r)
4
/ S; 2-1
12. Contractor's License Number:
S'2.. ( r. 5
13. Certificate of Insurance: yes 6 --No: ❑
14. Contractor's Si
14a. Date Signed:
15. Authorized Ag
TYPE OF WORK TO BE DONE
16. Please Check: Curb: Gutter. ❑ Sidewalk: ❑
17. Driveway (List Type):
18. Other.
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
permission is hereby ted.
19. conditions
s,
C -
Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600
20. X All work shall conform to accompanying: Detail la Plans ❑ Special Conditions
21. Date Issued / Z/
22. Expiration Date:3 / O
23 SuretyGS
Mike Crump, Director of Public Works
By:
** Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one 4ek.
Page 1 of 2
General Conditions - See Page 2
i
h�
•
UJ
TO BARRY PAINTER RETURN To moo EHME
SITE PLAN REVIEW APPLICA'T'ION
Date: 04 AP# d
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Size:
Owners Name:
Owners Address:
Telephone No.: G
Situs Address: G D J? O ✓�—A� L� �%. �� .
Proposed Use:
Ices' ential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
❑ Single Family Remodel .
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
IN Septic ❑ Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Site Plan Stamped Approved
• By v 1g Date 2- 2&—
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area:: 2 t; ��' 1 •
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
a SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
e Flood Zone: _
e Flood Panel No.: O9 & Index Date: 6 —
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
----- — --------- — — --------- ---------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
•
Zoning: —" J
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
•
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
so +(,
Side
S
��
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
•
Page 2 of 5
Applicable Development Fees:..
r +
Standard Fees Amount Formula
• ❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff _
❑ Drainage
❑ NCSP/CSA 87
❑ Chico UrbanArea — Road
❑ Thermalito Impact
❑ Other
----------------------------------------------------------------------------------------------------
Subdivision Map Special Fees
❑ Water Tender
❑ ,Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee, if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
• n .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
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
•------------------------------------------------------------------------------------------------
Page 3 of 5
Subdivision Map/Parcel Map: 'PIP GS
Map Date of Recording:
Lot: I Is
❑ Use Permit/Minor Use Permi
Permit Number:
C - C_, 6-." * 3
Date of Approval:
Page. -Gy I (ag
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
•
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwe±lings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control PI .0
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
❑ 0
Page 4 of 5
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAL.arrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
Name IBOZOKY FAMILY TRUST
Addr1 JBOZOKY JOHN &VERAATRUSTEES
Addr2 6483 BARAT CT
Addr3 I MAGALIA CA 95954
Addr4
Comments 16618000200 CONVERTED 09/08/88
Creaking D oc#1 1974R 1920042 Date
Current D oc# 1990R 19978 Date rl0/14/1988—
Killing
/14/1988Killing Doc# Dake
Asmt Desc P P COUNTRY CLUB SuplCnklQ
Zoning I R T 1 D well F
Acres/S q Ft 10.25 N /C 066
Asmt # 066-180-002-000 . Fee # I 066-180-002-000
Status ACTIVE Status Dake
Tax 000 INORMAL OWNERSHIP TRA 099-014
Situs 10 ANDOVER DR MAGALIA
Base D k
Timber Preserve
AgPres
E kal
Notes
B onds
Multi Situs
Flag1
Flagg
910 MH
Asmt PP Pen
Tax PP Pen
Appeal Pending
Split Pending
Land
Structure
Fixtures
G roving
Total L&I
Fix. R F
MH PP
PPI
1 7,782
0
0
0
17,782
0
0
0
E xemptl 0
Net 1 17.782
R /C#
T}R Dk
R/C Stat
K
PHY OWN EXP TAX H R N ATT SIT APR. RRL �
�� Find r -
i
r I
k CDF FIRE SAFE REQUIREMENTS
d
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by, the Butte County, Fire Department and are made ,a part of this permit.
These requirements are minimums and will be superseded by -Butte County
j local ;regulations which equal or exceed ,these standards. Field
inspections will be made by the Butte County Building Department for
compliance
[�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure' continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[ 1273.02 Surface. All driveway surfaces and structures (bridges,'
1273.07 culverts and other appurtenant structures' which supple-
ment the roadway bed or shoulders) shall : provide unob
structed`access to conventional drive vehicles, includ=
'j ing sedans and fire apparatus weighing up to 40,`000
pounds.
� 1273.03 Grade. Not to exceed 16 percent unless paved.
i
1273.04 Driveway Radius
[Y,] 1 No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional: sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 -'feet to those from 100-200 feet.
[T] 2: The length of vertical. -curves in roadways exclusive
of
terse ditches and drainage a struct
u
res designed
ne
d
to hold or 'divert water shall be not `less than 100
feet.
will have a
minimum m turn
in
fired g
[ 1273.05 Turnarounds. If required,
radius
of
40 feet from the center of the road.
1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
. each end.
with
a minimum 25
foot"taper on
long_wi
feet
[ 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of - 3
_77-
r777' 1
ULA:
n
f
4-62-,
AP # PERMIT # SAME
[V
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
,!
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than `'400 feet 'apart`.
1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
I
1273. 11, Gates
[�]
1.Gate entrances shall be at least two feet wider than
the roadway it serves. f
rV-1]
2. The gates must be located at least 30 feet from the
I
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
N2
3. Where a one-way road with a single traffic lane
provides entrance, -a 50 foot turning radius shall be
used. 4
Fuel
I
Modification
;f
1276.01 Setback for Structure Defensible Space.
[ ]
1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from all property lines and/or` the center
of the road.
j
2. For parcels less than 1 acre, `local jurisdiction
shall provide for the same: practical effect. See
Other Requirements below.
[
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, .:burying, burning or removal to a landfill site �
'
,approved by the local jurisdiction, of flammable
vegetation and fuels 'caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi nal inspection of a building
permit.
I
Page 2 of 3
,.i�
7"�