HomeMy WebLinkAbout066-300-034f �•
4
. NOTES
RESIDENTIAL
•
066-300-034 1571
PERMIT NO.02-
;
MALLORY, BRYAN.
}
LEST PARK DR., MAGALIA
NEW SINGLE FAMILY (313R)
C
'1
' tl
t
�r
t
a�
SPECIAL CONDITIONS
f
fi
CHECKED
BY
'
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
• 5�
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
-----------
OFFICE COPY
'
Address
GAS
Meter By Datil/o�v
ELE
f
Meter By
JOB FINALED (Date)
Signature
./ = OK
0 = Not OK
r Not Applicable MOBILE HOMES
= Not Ready
Date ' M06ILE 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
a
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing `
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
4.
Water; Location -Test -Easement Needed (Sketch)
Card B-1 Date Card B-1
5.
Electricity; Location- Clearances-Grnd-/ /Amp -Concrete
a
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
2. Soils; Compaction -Structure Stability
7.
Well Clearance & Discorinect
8.
Utility Clearance
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed '
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Date
Card B-1 Date Card B-1
Date
10. Plumb.; Cir. Test -Water Supply Test
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Date
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
12.
Permanent Foundation Only; License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
a
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rttrs-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
FINAL (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 -GF]
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- Enclosure s- Pane lboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
r
V = OK
0 = Not OK
= Not Applicable RESIDENTIAL (;
= Not Ready
Daterfloor (Plans) OK except #'s
Z ng -Setbacks -Easements- ood-Slope
F!ge Main; Soils-Elec. d.-/ Ftg. Depth
FtW., Garage; Soils-Steel-Elec. Grnd.-/ o4f Ftg. Depth
Ft ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
S walls, Main; Steel-Blockouts-Wrapped
Ookde`mwalls, Garage; Steel-Blockouts-Wrapped
Lpe Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
iers-Fireplace Ftg.-Steel
D.W.Y.-Fall-Fitting-Test-2 Way C/O -Sewer Test
F, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
ater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
V_Pre-_nu'Ms-& Ducts; Clearance -Material -Support -Ins.
ird [s -Sills -Anchor Bolts-Joists-Vents-Crippies
AA4ccess & Ventilation
16. Insulation
Date Q Card 8- Date Card B-1
Date and - Date Card B-1
Date P G (Permit) OK except #'s
Wat r Htr.; Vent -Access -Combustion Air Baffle
at r Pipe; Test & Anchor -Nail Protection
W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
as Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELF.L-TRICAL (Permit) OK except #'s
e3!FixtuW& Transformer Clearance -Ins. Protection
& Switches at Doors
s & No. of Conductors
2E! Ro x Installed Close to Edge of Studs & C.J.
gyip`. Ground made up w/Mech Fasteners -Bond Gas & Water
28!2 Appliance Circuits in Kitchen & Conductor Size GFI
29. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes O No
31!Se vice -Riser Conductors & Ground Main Disconnect
3 Vjp. Clearances Panels-Motors-Mech. Equip.
3 . C1901es Closet Light -Shower Light -Spa Light
Smoke Detector
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
Card B-1 Date Card B-1
Date
ttic
MECHANICAL (Permit) OK except #'s
5 drm.
indows or Exiting Doors -Sill Ht. & Dimensions
C. Ducts Insulation & Support
Protection Framing
3
e an, Exhaust above insulation
Date/442&
Date f
/
Condensate Drain & Overflow, Size & Grade
Date
3
urnace-Vent Access -Comb. Air -Return Air Vent 115 outlet
3
is Access & Platform if Furnace in Attic
Smo e'Detector
urnace Vents -clearance -Comb, Air -Connector -
In C
3wage; Above Floor-Ducts-Mech. Protection
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
6
F MING (Permit) OK except #'s
69.
Sits P per Materials & Anchors
41
altsStuds-Nailing Spacing & Braces -Plates -Sound
4
e g Walls over Girders & Floor Nailing
.
Dra op in Walls (rat proof)
4re
'ps, Furred Ceilings -Stairs -Chasers -Tubs
4
eaders & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
r Clip
Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
4 ire I
Ties or Type A Flue -Fireplace Throat Clearance
ttic
cess; Size & Romex Protection -Draft Stop -Ins. Baffles
5 drm.
indows or Exiting Doors -Sill Ht. & Dimensions
araggFire
Protection Framing
roWy
Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54. Sjaff's Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
ailing Veneer
inish
C. Unit Disconnect, Electrical -Plumbing
ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
$6. Water Well, Disconnect, Electrical, Plumbinq
Trim, G.F.I. Rec
'oughout House
9g!Corre5' s from Previous Inspections
a st-Meters Tagged, Gas -Electric
92. ate ewer Connected -C/O to Grade -HD Approval
99,'g-Cempliance Certificate -Other Certificates
Posted
Date/ / Card B- Date Card B-1
Dat T Card - Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
o es Drip Screed -Fd. Vents-Undertlr. Access
zing Area -Glass Protection -Skylights -Plastic
. She IIs; Nailing -Bolts
0
r ntertor/Exterior Wall Panels
/—.624
Gnfiltration-Walls-Windows-Windows
nsulation-Walls-Ceilings
Date/442&
Date f
/
Date Card B-1
Car Date Card B-1
Date
AL (Plans) OK except #'s
x ps-Door & Sidelight Protection -Landings
Smo e'Detector
urnace Vents -clearance -Comb, Air -Connector -
In C
3wage; Above Floor-Ducts-Mech. Protection
e om Exiting
Bath Fixtures & Tub Access -Spa
6
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails \
0
eglace or Stove, Clearance -Hearth
7
ec tlets at Wood Panel, Int. & Ext.
it. F' . & Appliance; Ground -Air Gap -Cooking Clearance
lec. utlets & Receptacles at Kit. Counter
7
ar4ge-Fire Door; Swing -Landing -Closure
Garage -Damper
7
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in G e; Above Floor-Mech. Protection
7
c_ & Mech. Equip. Listed for Location
e Receptacles in Garage (F.F.I.)-Romex Protection
7
ns on -Foam -Looked in Attic
8
uaWliails & Deck Construction -Post Caps
8
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive s ] NoMalks 0 Yes Jtlanters 0 Yes a'No
inish
C. Unit Disconnect, Electrical -Plumbing
ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
$6. Water Well, Disconnect, Electrical, Plumbinq
Trim, G.F.I. Rec
'oughout House
9g!Corre5' s from Previous Inspections
a st-Meters Tagged, Gas -Electric
92. ate ewer Connected -C/O to Grade -HD Approval
99,'g-Cempliance Certificate -Other Certificates
Posted
Date/ / Card B- Date Card B-1
Dat T Card - Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
INTER-DEPARTMENTAL MEMORANDUM
TO: BUILDING DIVISION, OROVILLE O
7
FROM: M.1 1� , ENVIR. HEALTH; CHICO
DATE:
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNER NAME: SEPTIC: WELL:
AP#:ADDRESS/LOCATION: 6d / 6S
Comments: .
�GUmemos/releasehold
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) q APPLICATION AND•PERMIT
ASSESSOR P,'LRCEL NUMBER
066-300-034
ZONING
121-1
BUILDING PERMIT
OWNER
ViPJJORY DRYZ-12,1,
TELEPHONE
873-1355
SO. FT. OCC. BUILDING VALUATION
1625 R 87 750.00
.OWNER'S MAILING ADDRESS
6122 D111N,. CIRCLE KRGALIA CA 95954920-00
440 U 79
COrg J `TOR'S NAME -
TELEPHONE
128 0 896.00
20 C 260.00
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER -
LICENSE NO.
Filing Fee $ 20.00
Permit Fee s 626.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 406-90
NGADDRESS ,�,
BUILDI13723 � [-JESTARK Die. WP.GALIF
,
Energy Plan Checking Fee $
s
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.0063.00
Solar or heat pump water heater 23.00
Water piping 15.00 15-00
Each gas water heater or vent 15-0015.00
TYPE OF WORK
New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
„-,
Describe Work: !1E[J SINGLE FAMILY OB -210
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.0015-00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing 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,
y license is in full force and effect.
/License
License Class y Lic. No. `i l�
OWNER -BUILDER DECLARATION
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.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. DWEwNG OCCUR SO
OR ADDNS. ( & ACC. MOS. 3.54T.
NO" N.pESlpT MULTI -O11 UTLET CUITS @7,50
POWER APPARATUS
8 SINGLE OLlRLT CR.
20 Q 1 .00
EX. Occup. OUTLET OR FIXTURES BAL Q .50
Ex. Occup. oimFrs REa.OEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 115.30
WORKERS' COMPENSATION DECLARATION
reireby affirm under penalty of perjury one of the following declarations:
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' co, Pensation insuranf/e carrier and policy number are:
Carrier >
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.001
Cooling 15.00
Hood 6.50
Ventilation
Gas Stove
PERMIT FEE $86.50
Policy Number
(rhe 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 �� Dat ` f
Si aTuv o Applicant - caner ❑ Contractf�r❑ gentAn OSH permitis required for excavations over 5'0"nd demolition or constructi n
of structures over 3 stories in he'ght.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
R3
CONST. TYPE
VN TO L F E $ 60 0
HAZ.
D. FEES D
CD pqR
p0
H
III
This permit is hereby Issued nder the applicable provisions
of the Butte County Code and/or Resolutions to do work
inch ed for hich fees have been paid.
c
By Date / lD A7/
PERMIT EXPIRES ON 11tv LO3
Date
ReceiptNo. 7
WHITE-D.D.S.-B.D. CANARY AS ESSOR PINK- S ECT R GOLDENROD -APPLICANT
?2-.F
i Wt
COUNTY OF'BUTTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
17 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
-7
PERMIT APPLICATION DATA SHEET /
OWNER: y,, t ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: -Date: L
Items required in order,to apply foraa permit. All boxes MUST b , e checked OR marked NA in order to apply.
�
an or sets, signed"by the preparer of the plans.
L - 0
mplet se plan
lot P' ;� r 4 sets, signed by the preparer of the plans.
'
lot
plans 3 3 or 4 sets, with wet signature on plans AND 25sts-@fqaWe&and signecllcul ions.
0 4. Engineered trus5,details and layouts in duplicate. No faxes!
0 5. Energy compliance design'and supporting documentation. pduplicate. •A,
.0 61 ',Wqh�fqr�4edbomes: (A) Data sheets and installation instructions, (B) Marriage line information, C) Floor 1 Ov11 (D) Tie down or
1�11 i I I % P
foundation,j) 11 in duplicate.
wits, in du
0 7' ZVlttal buitd�(A)'Metal B ildinA Plans (B) Foundatift plans and calculations in triplicate, (C) Elevation views in triplicate.
ul
M 6-r 566Z,�
IN A'j !!ei'arid wet -signed by the engineer.
lans in thplO.2,) IZAges"67 Lst hb.tgtaffi
1proc,�5ghb-ft&q�t will be
tAt e I
q e. or initial plan review. If checked items have not been received; plan revieiv-caa
d ed and returned to the plan review line-up when required items are received.
Date Received
s r
ed
'y
((58 lood Elevation Certificate, wet -stamped and signed, in duplicate ............................. /.'%
y
Plot plan and business license approvdi from the City of Biggs ................................ AI
-residential buildings ..................................
0 10., Letter of intent for non
rw
J10 11. Detached Accessory Building Form filled out by the owner ....................................
0 12. Hazardous Material Form ............................................................................... .
E] 13. Other
AIRNR ded42jsyejtjh pi�lrtyitr 0-Y uifefdditional plan review upon receipt of the fi llowing ite
ID4111vgM 19, MR.
Fe'e's aAsh0,QJ`n1t9Ma9iod- Schedule of Fees Due Sheet ....................................
ff 4 Statement of�lntent for Non -heated and A/C Buildings ................................
05
7
1,
tl, 16. Sanitation and plot plan approval from the Environmental Health Departm t in
-0 17. City of Chico Plumbing permit ............................. . .. ........... *
_0
18. California Department of Forestry plan approvalaid. Sent_ y: y . ................
0 1 Planning approval for (A) Use: Co K I �in: (C) OPTarce Check:
-,Sontact Land Development abbut 0 Improvements, 0 Drainage ...............................
PAt 2 roachment Permit for driveway from the Public Works Dept. (construction approval prior to 6c'c
upan
Tn�
Pre -Inspection for
required ................
.0 23. Contractor's license information. (Number; Name'Sty le, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number... ......................... .................
Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
Letter of Signature authorization ..................................................................... n/4, ^-7
7 ecorded copy of Agricultural Acknowledgment, Statement ................ ......................
.1
0 28. Ma'n-ufactured home utility clearance. .............. t
N
D 29. Existing violations and/or expired permits....... ! .................................................
01, 30. 0 Grant 6-e6d, E) M.H. Title/Stateffient of Facts, 0 Letter from Le# Owner, 0 Check to H.C.D. $
1. Other:
issued Telephone and hold P1br,Pmi6kup.
• I have been informed of the above items and requirements for obtaining a building ng permit.
C9
pplic
t: Da
1. Index permit application for the above items numbered- Plan Check Letter
',2. Additional items required --v
I
C6ntractor, designer, owner, was advised of the above data y 2' phone, 0 mail, 0 count r, by Date: `K- C) -Z -
Contractor, designer, owner, was advised of the above data by 0,phone, 0 mail, 0b Date:
by
reviewed by: Date: Plans approved by: 82t� Date:
Structuralreviewe k Date 'I j" e4sti*uctirral approved by: Date:
Note t rah"sfe"r by:
e:
Yellow- Building Division
I
[t
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541
__ SCHEDULE OF FEES DUE
BUILDING USE
BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
nvislaned PChecking Fee ................................. $$ ,,
QOOL DISTRICT FEES L��dQ
(paid at District Office)
SHERIFF FEES (paid at Building Division)
Residential ....................................
Units
Commercial (sq. ft.) ...................
4. URBAN AREA FEES
Residential ............................
Commercial (Sq. ft.) ..........
x $360.00 = $
x $0.03 = $
aq. it.
x
# Units Amt.
X
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
_�L 7
SRA FIRE INSPECTION AND PLAN CHECK
$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
n
A.P. # ,:10 /
DATE r
CEPT �# DTE REC.
VI (] —
v
s5 -
At
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.
DsuAPPICANT �'_�— ATE6"_(94_ant to Government Code Section 0, you are hereby notified that items 2, 3, 4, 5, 6, , , 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. personally plan to provide the major labor and materials for construction of the proposed
20property improvement: YES p NO ❑
I HAVEP HAVE 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:.
RESS* CITY:
PHONE: CONTRACTOR'S ICENSE NO.
4. I plan to provide p 'ons of �this work, but ave hired the fol g person coordinate,
H70
and provide work:
NAME:
ADDRESS: /CITY:
OL
5. I will provide some of the work have contracted (hire llowing persons to provide
the work indicated:
NAME AD SS PHONE E_ OF WORK
SIGNED:
PROPERTYOWNER:_
SOCEisOwner-Builder
DATNOTE: Verification is required by Section 198.31 and 19832 of the
California Health and Safety Code. This verification must be vompkW and
returned to our ofJice before we are permitted to issue the permit.
OVER
F- OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of 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 5300 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 emplover, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
I11Mrely,
el C. Vi ira, C.B4O.
ger, Building Inspection
NOTE: This Owner -Builder Info rmadon is required by Secdon 19830 of the Calijornla Health and Safety Code-
OVER
oda
OVER
n...�•+.+��wt'y+v""1.��1."�'^•��./+AY���M��A•/M'��f.�"Tr'^^YN•�i''1A�M1„'...V"W •M+�^ � � _'�IY�•rF>titr•I•.n�rr.� w -y .. .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District
A.P. Number
}1
Property Owner
s Property Location/Address.
Subdivision
Jurisdiction: City
Building Department No.
�Counry
Lot No.
Residential Development �g'
..................................................................................................................
Sq. FootageNMobile
Home
Addition/
'Supplemental to (Group R
Units
Installation
Conversion
Permit #
..................................................................................................................
'(No foundation inspection):
Commercial/lndustrial,`r._
-' Sq''Footage
r New
Addition
(Including Exterior
Building Department
trioor rians reviewea oy Jcnool uistnct Personnel)
Roofed Areas)
Date
Distr:i•t Identification No., U151",
. f School District ce.004'.rtifies that
• (Applicant)
(Street Address) ' (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing / square feet.
School District Representative V
Paid by Check # � Remarks:
by payment of $ ✓ �/ �`wt
IIAB 2926 $
FULL MITIGATION $
Date 1611
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
' • t Government Code Section 660201a1,, 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.xls (10/98)dmm
ENCROACHMENT- PERMIT
COUNTY Of. ,BUTTE u DEPARTMENT Of PUBLIC WORKS
7 County Center Drive o Oroville, CA 95965 o Phone: (530) 538-7681 u Fax:.(530)
Download Forms: www.buttecounty.net/publicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE. Permit .Numbgr• 5 District
Phone: (530) 538-7339Ld`
}u '�3:. •y� >,,;: ... •.... .. ..... .. f^: al'• .... . '%:f:.L' J.':'. "•i.L�L' _ .. ,. _ ., .1 ..•i. _ . i:: _ - ... .. _...
APPLICATION"... _ •:r:::>:. .. _ �,,.
I / WE,'the undersigned, hereby apply to the Countyof Butte for an encroachment permit to do the following work tinder or over the Cobnty roads and
hi hwa s, all in accordance'with Coun ordinances and Odneral laws. All information except signature must be typed or legibly rinted.
1. Applicant's Name: �G 1a. Company Name:
2. Address: to Z Z 1,26h C r rCGS
` P dot a �,� /<��
�'l
3. Phone: 4. Assessors Parcel Number.
` 5. Location of Work. to be Done: 3 Z 3 e.��s t�� tri 74"
6. Applicant's Sgnature ...: , - ' ' :.... ._ - _Date:..-..;.,7
CONTRACTORS INFORMATION
8. Contractots Name:
9. Address:
-' ........ 11Fax: • - ..
10. Phone: .. •• _ _ . ... ... . .. _ ,- ..... .... ... ...
12. Contractors Number 13. Cenl6cate of Insurance:. Yes 0 No ,-
14. Contractors Signature _
15. Authorized Agent a ..... ....: -•,, :.......:: c ... _ _ . ,.:.... .
_..TYPE OF WORK TO BE DONE
16. Please Check Curb: ❑ Gutter: ❑ Sidewalk: ' ❑
17. Driveway (List Type): 3 e :. 18. Other...... .
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions
written below, permission is hereby ranted.
19..CondidonsA,_x 'Per Affaetkedrn
Underground Service Alert U.S.A must be notified two working days prior to any excavation. 800-227-2600
20. 119 All work shall conform to accompanying: Detail (&Plans'' ❑-Special Conditions ❑
21. Date Issued s° 22. Expiration Date C, � O G' 23. Surety:, Yes (.No o
Mike .rump; Dir"ector of Public Works :.; t:.. B:
_. .
.: *.*Note: If permits: are faxed to any number besides (530)5384356, they can be delayed up to one week.
Page 1 ort
General Conditions — See Page 2
Seat By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Sep-10-02 12:38PM; Page 2/4
u9 r
Mae PIMAteedeA
Hees Flee Attae
Bentte S.D.
TO: Building Department �.
FROM; Environmental Health
SWBJECT: Sanitation ante
er Location AP#
Plan prov f` Sewage Disposal %� W ter Supply: ubli Private Well
Cl: rance fo,,r . dwelling. Other
Hold B far:
Fi"; aI clearance O.K. or:
NOTE:
JA
Environmental fisailth Speciabst Date
8/96
a
cri
g
CL
m
N
N
O
!Z
a�
N i
co `
:n
M .
m
0
cn
U)
0
U
LU
10' �� — — _-- — — —._ __ 124-
10.1N85d40
_ 10.01' --..—,—,—.
_. - 2.5
co
m. .f V- N
of
10,
2.
OECKi —.0.' �Ioi
. o, _ __...__SIDEWALK --._.._....-- .--... J ..
N' DRIVEWAY, )
APPR :W ED
L4
— ----- — s`esa 4ti 3•E -- __ _ _ -_.__ ___ %;� �'i���%�� �` a
Butte C�untY104.25 mA
atthr
Ak
Date
A AA
WEST PARKDRIVE.
m PLOT -PLAN
CONSTRUCTION -
CjP�'
BRYAN MALLORY
6122 DANA CIRCLE
MAGALIA, CA 95954
(530)873-1355
CA LIC. 529792_
PROJECT -
.......
...........:.............................
................................: PARK K MVE ..... .....
SCALE: 1 INCH o 20 FEET MPI Ay�C034
W
ca
CL
a_
a)
c")
c\j
CD
O
CL
4)
co
!.q
Ln
(o
Ln
(3)
co
CO
co
-- -- --------------------
CEO -
WAS", e.;f CoRlo
=771�
6 4 em
nLL
7-- -, - -
- n . , - .. .'
Frr
3EDADCAI
EWWWENTAL HEALTH
JUN 14 20
CHs, CALIFOR
MALLORY
CONSTRUCTION
BRYAN MALLORY
6122DANA CIRCLE
PAAGALIA, CA 95954
(530) 6731355
CA LIC. 529792
Ser►t By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Sep -10-02 12:33PM; Page 1/3
A. Usle COLr
tent fts Ai "had
Aso? Pb* A
2&htLa A.O-
TO: Building Department C..
FROM: Environmental Health 6
SU13JECT: Sanitation ance
ear-
or Location AP#
Plan prove f Sewage Disposal Water Supply: Publi Private Well
CII ranee Ic , dwelling. Other _
r -
Final clearance O.K. or:
MOTE.
';4o 2aa
Erivironmental ealth Specialist Date
' 8/96
•w9 �
a_ t
I eDRY,
FF
Tw •l:.i-.
avi
_ _ _ r Jan.;;E
MILL
---- - ------
Ln
_ lII--IT IT At
co
f
Q.
CD
C-3,
'
-- - E I
• Cxn
�, - ENTAL HEALTH
JUN 14 20
,I
Lu
CHICO, CALIFORNIA
m
Lu
m
Z
0
Q
z
Lu
U •
Lu
H
E --
m,
: 'O"R"
a
c:
,I
RfALLORY
CONSTRUCTION
BRYAN MALLORY
6122 DANA CIRCLE
MAGALIA, CA 95954
(530) 873-1355
CA LIC. 529792
PROJECT —
• I.. VV"T PARK DRIVE
SCALE. / a 1 F00T MAGALIA. CA 95954`
APO 066300A34
N85F4
10.01.
to.,
EO
cn
to..
luj
DECK
SIDEWALK
DRfVEVVAY
S85d 40' Yi
LU
z.3ff- � � it
wWFST PARK
MALLORY
cr CONSTRUCTION
>
BRYAN MALLORY
w612.2 DANA CIRCLE
MAGALIA. CA 95954.I.
(530) 873-1355
w CA LIC. 529792
PROJECT
'4723 WEST PARK DIRAC
P--LA-N----S---- -C---- A---- -L-E--:-- -1 ... I -NCH = 20 FEET,
co
. I
UJ
wo
2U
LU
z.3ff- � � it
wWFST PARK
MALLORY
cr CONSTRUCTION
>
BRYAN MALLORY
w612.2 DANA CIRCLE
MAGALIA. CA 95954.I.
(530) 873-1355
w CA LIC. 529792
PROJECT
'4723 WEST PARK DIRAC
P--LA-N----S---- -C---- A---- -L-E--:-- -1 ... I -NCH = 20 FEET,
co
. I
+�o�uTrFor r i }"` Department of Develf ment Services
°
0 0 r° Building Division
O _ _ O 7 County Center Drive
O=� O Oroville, CA 95965
„ - J (530) 538-7541 (530) 538-2140 FAX
August 15, 2002
Bryan Mallory
6122 Dana Circle
Magalia, CA 95954
Assessor Parcel Number: 066-300-034
Building Permit Number: 02-1571
Thank you for submitting the plans for your building project. The plans have been reviewed, and
the plan examiner's comments are listed below. Please respond in writing to each item by
completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete
and clear response will expedite the re -check and approval of this project.
NON-STRUCTURAL COMMENTS:
1. Provide a garage door header size.
2. Please clarify why you show two beams between the nook and kitchen.
STRUCTURAL COMMENTS:
1. Please provide a lateral analysis for the rear of the building, or provide bracing per code.
Braced wall lines must extend through the entire building.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for,
Linda. Philo will answer your structural questions.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
Li da Simpson Philo Hunt, P. .
Plans Examiner Plan Check Engineer
Iof1
PLAN REVIEW RESPONSE FORM
In order to expedite the review of Your plans. plane complete the following information and return this
t#is fon' is not Complete. as to all comecdon items, we will not be able to accept your re -m bmittal for revkw h Your re."
response to every item tcgtwsW in our plan correction letter.
'may othet>f` is not Considered a Valid ottaR
response to each item Sad the logon where the io&ra Hon Can be found on the plana/calcS. PkaSe
ATTACH
OWR3 THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN wrm REVISED RNID
NAME
_ . .. _ . _ .. DATE: 71
ASAle-,
PARCELNUMBER PERMIT NUMBER
RESPONSE FOR PLAN CHECK LETTER DATED:
tTEM B _ RESPONSE BY: - - LOCATION ON PLANWCALC
z_ .
LAN cnECK REM N RESPONSE BY: LOCATION ON PLANS/CALCS:
OMMENTS:
/� M '�7/�_ ,fes (]'�L n .
� ! ?"L 0% ) l �f7[/ �� .n/ �^ �a EDT . r
0) f1 L r lie Ae cif vYis 7� c m IS o m Ge�x �
_
00awuRECK REM N RESPONSE BY: LOCATION ON PLANS/CALCS:
OMMENTS:
i
P
]Mater closet clearances (Uniform Plumbing Code 308.5).
Shover compartment minimum 1024 sq. in & 30" circle (Uniform Plumbing Code 412.7).
Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient sit to support
all loads (Uniform Building Code section 1806.3).
S CT'iTRAL DETAILS:
. B� mall panels shall star at not more than 8 feet from tach end of a braced Wall line. Brand Wall Panels
mbe in line or offset from each other by not more than 4 feet (tJBC section 2320.11n 2 Spacing shall not
ust
34 feet on ainal center in both the longitudand transverse directions (UBC section 2320.4.1.) Braced wall
es must be continuous throughout the structure.
A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building
that do not comply With the Uniform Building Code. This must include the designer's "we stamp, signamm,
registration number and expiration date on all sheets of plans depicting the designed elements and cover shots
of calculations.
X. Clenetory requiring balloon framing and/or engineering. (Uniform Building Code Table
4. Foundation plans complete enough to construct building
.tl Floor construction details complete enough to construct building.
Elevations and Wall construction details complete enough to construct building.
�! Roof construction details complete enough to construct building.
Fireplace construction details and calculations if necessary.
Garage door header size(s).
'Porch header size(s).
Typical header size(s).
y2s Stud heights.
High expansive soil - special foundation design required.
Retaining walls requiring design
4T '(i3psum wallboard nailing inspection required.
A -C If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total
net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no
more than one foot above grade. Alternatively. certification may be provided by a registered professional
engineer or architect that the design mill allow equalization of hydrostatic flood forces on exterior Walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction
design requirements must be shown on the building plans.
-4e Electric, heating, ventilation, plumbing and air conditioning equipment and other se -% ice facilities shall be
designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
mocELLATTOUS ITEMS:
Staimay details - landings, rise and run. head clearance. handrails (Uniform Building Code section 1003).
Guardrails (Uniform Building Code section 509).
Bride or stone veneer (Uniform Building Code section 1403).
Exterior plaster - wap screeds (Uniform Building Code section 2506.5).
Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-13-1 & 2).
Foam insulation - protection.
36" halls and stairways (Uniform Building Code section 1004.3.3.2).
Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2).
Underfloor access and ventiladon (Uniform Building Code section 2306.3 & 2306.7).
. Attic access and ventilation (Uniform Building Code section 1505).
Sound requirements.
Energy design compliance and supporting documentation.
. CDF responsible area requirements.
UII.DING PERMIT REQUIREMENTS:
1. ❑ SRA.
2. ❑ Flood elcx•ation certificate.
3. ❑ Fire Sprinklers required.
4. ❑ Special Inspection requirement.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing lever.
G�tl mw'( GUS ><a/d �4�
Pace -- .)f,-
/OT TF
°'
0
RESIDENTIAL PLAN
O
�
°
REVIEW GUIDE
c ''�, .• a:: •" c
SINGLE FAMILY, DUPLEXAND
MISCELLANEOUS ONLY
O%,--rer. Building Permit Number: 6o2 -
Plans Examiner: ,LM&A 51.mp6o. n A. P. Number:
GE`ERkL:
Zoning requirements — (number of permitted living units).
Plans signed by the designer.
.a! Proper description of work on the
application -Existing violations on the property.
Recorded notice of violation.
6 Building permit valuation.
LOT PLA`:
Complete parcel size and dimensions.
Setbacks, side yard. easements, etc.
Other buildings or structures.
Grading. fills andlor drainage.
Flood hazard.
Special condidens on Parcel Map:
Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑
Federal Aid Route and/or Federal Aid Secondary Route setback requirement
Building Lot erger approval by Butte County Land Development)
or utilities across lot lines (m
LOOR PLA`:
Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3 '
10°'0 of natural light and 5% of ventilation (Uniform Building Code section 1203).
Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet- The minimum net
clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20".
When «indo« s are provided as a means of escape or rescue. they shall have a finished sill height not more thea
44" above the flcor (Uniform Building Code section 310.4).
Sk}-lights (Uniform Building Code section 2409 & 2603.7).
Glazing in Hazardous locations (Uniform Building Code section 2406).
Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in titin
section. Kitchens. halls, bathrooms and toilet compartments may have a ailing height of not less dum 7 feet
measured to the lowest vroiection from the ceiling (Uniform Building Code section 310.6.1
All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 &et in
any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
GFC1 in baths. gage. kitchen. wet bar, and exterior receptacles (NEC 210).
Water heaters %% hick depend on the combustion of fuel shall not be installed in a room used or designed to be
used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening iron abath
or bedroom (uniform Plumbing Code section 509.0).
Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedroom, Orin
a room compartment or alcove opening directly into any of these (Uniform Mechanical Code seetbn3044
Garage fire%vall separation - required on garage side including supporting walls and posts (Uniibttn g
Code section 302.4 exception #3).
nder no circumstances shall a private garage have any opening into a room used for sleeping purposes
�S�M`od
t;ifor n Building Code section 312.4).
;tope locndon -Alcove-1l1�1C section 203 confined space & 223 unconfined space tit 304.2).
oke detectors (Uniform Building Code section 310.9.1).
Page 1 of 2
Date: 2
SITE PLAN REVIEW APPLICATION
0 L& - 3o -z) - o 3l -I
Permit Number (if applicable) 0 2--1 57 l
AP#
APPLICANT INFORMATION Parcel Size:" r
Owners Name: n 1'L0 _12
Owners Address:
Telephone No.:
Situs Address: W GS?' PA 2 X 2� /Z
wProposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
C
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Stat'! Use)
❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval
&, Site Plan Stamped Approved
By Date -18 -0 r2—
Page
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
® Snow Load Area: - 21�P� -r 0 2-1; Dt�> -4"-r
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
® SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attach �)
• Flood Zone:
• Flood Panel No.: (> y CZ7 � Index Date: %- 8 — c 8
❑ 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/Mu I berry (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 r-1Agricultural Acknowledgement Statement
Zoning:
1R-1
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
3
Side Street
�J� r✓ L
H�LL6yz GT
Rear
S
30
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:"
Standard Fees Amount ' Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ .NCSP./CSA 87
❑ Chico Urban Area — 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
.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
N Subdivision Map/Parcel Map: jdgr2,FD)_S6, PIN �S L- �—• rC - L,
Map Date of Recording: J0-27 — 7
Lot: &
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 38 Page: n / 73
Date of Approval:
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance on slopes steeper than
30%. The Erosion Control Plan must be prepared by a registered civil engineer or other
qualified professional and be submitted to and approved by the Department of Public
Works.
❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ 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.
Page 4of5
1 r
F1
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.
CAMy Documents\Building Permit Site Plan Reviewl.doc
Page 5 of 5
r AND-4HEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
10 -Sep -2002 2002-0047084
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:
A -T -F k u-�-YJ (-i"1 at l & 7j z:- r'
Date___ q —10 - D72- PROPERTY O "fNERS:
State of California )
County of (&"T_r1..V_ )
On;647r. 10 _Za Z before me,
�iy7�fidla CQ3T4 R/0 Ape i-�
personally appeared --kytw ma -u_ C)/? -v 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 actoheirwledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted executed t e instrument.
WITNESS my h an off, ' seal.
Signature eal: CYNTHIA A. COSTA
B49 COMM. i 1279287
WTARY PUBLIC -CALIFORNIA
r ,, COUNTY OF BUTTE
A.P. # 0(O(Q _ 0�4 Comm. Expires Oct. 30, 2004
EXHIBIT "ONE"
PARCEL I.-
Lot
:
Order No. 303984
Lot 65, as shown on that certain Map entitled, "Paradise Pines Country Club Estates
Unit No. 4", filed in the Office of the County Recorder of Butte County, California, on
October 27, 1971, in Book 38, of Maps, at Page(s) 69, 70, 71, 72 and 73.
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.
PARCEL II:
A non-exclusive easement over Lots A, B, C, D, E, F, G, H, I, J, K, L and M (the
common areas) of Paradise Pines Country Club Estates Unit No. 4, and the lots
designated for common and recreational areas as described in the Declarations of
Annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV, XV and Country Club Estates
Units No. 1, 2, 3 and 4.
Assessor's Parcel No: 066-300-034
y
i
E.H. USE 0 LY
Fiat Pian Anachad
Flow Plan Anselt®' a
Sant to G.D.
?�Z
TO: Building Department(
FROM: Environmental Health
SUBJECT: Sanitationance
Li
2�.\,.J&rL 0/. -CXR% - ?moo
er Location AP#
Plan proved f : Sewage Disposal Water Supply: Publi Private Well
C1 ranee fo29dweliing. Other W t,�n C fs(� C�a r� ;T�.[ <4-4
r'U�
Final clearance (TK. for:
NOTE:
Environmental Health Specialist
8/96
Sv�e �(o 2U)) -,Date
F]
10, 0., N85,
col
cdo
10,
a)
b
CN)
104.25'
124.'
I6
4 3-W
---__-.10.01' 1
Eoi
Ol
3.68' cv.,
DECK/ 1 0"
co
T— /===�" zoi1"
7za I
---------------
SIDEWALK
DRIVEWAY
WEST PARK DRIVE.
s.
FPLI=Alok'
0�
LLJ
APPROVED
"kButte County
nvironmental Health
� (0- 1 c_-xa_
Date I A
Sionalure 54 NOY."
MALLORY
CONSTRUCTION
BRYAN MALLORY
6122 DANA CIRCLE
MAGALIA, CA 95954
(530) 873-1355
CA LIC. 529792
PROJECT
•147 WEST PARK DF41VE
'MAGALIA. CA 95954
AP# 066-300-034
0
MASTER BDRtvt CLOSET
ts.ts7 sS. agJ LIVING
NOOCALIF K �
C ; css aa.cs
GARAGE
a HALL ,I J _ — zt'ersa
�� .., traxss
fl
/> rJ t ,L•' , DIt17.G 1S / b8 117
BEDROOM BEDR
t2tOt 106 OOM
12iGz tly6 ✓5 `->':
,o,0 1 I 1
APPROVED
Butte County
Environmental Health
�Z ?�2
Date
3 jj.1I/
No
ENVIRONMENTAL HEALTH
JUN 14 2002 j
CHICO, CALIFORNIA
rLJ-X 14 SCALE: 1/12 = 1 FOOT
"MALLORY
. CONSTRUCTION
,BRYAN MALLORY
'6122 DANA CIRCLE t
MAGALIA, CA 95954
(530) 873-1355
CA LIC. 529792
PROJECT
X147 WEST PARK DRIVE
'MAGALIA, CA 95954
AP# 066-300-034 '
t
ENCROACHMENT- PERMIT
C.OUNTY.Of BUTTE v DEPARTMENT OF PUBLIC WORKS
7 County Center Drive v Oroville, CA 95965 u Phone: • (530) 538-7681 u Faz: (530) 538-4356",�
Download Forms: www.buttecounty.neUDublicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE ;.; Perm.itum�r;
538-7339 d Z)-2-= istrict
Phone: (530)r
01.-- ' � 5
r- .,, r : ..: ..:.............. .:� fi ,;:; `APPLICATION'... ;' : ':...
I 1 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
hi hwa s; all in accordance'with County ordinances and d6neral laws. All information except signature must be typed or legibly rinted.
1. Applicant's Name: �� 1a. Company Name:
2. Address: (fJ ZZ-
,..:... .
3. Phone: ' , �4, Assessors Parcel Number.
10 7
5. Location of Work to be Done: 3 2 3 tJ� r u`
6. Applicants Signature
CONTRACTORS INFORMATION"
8.'Contractor3Name: ,_: • .
9. Address _ . , ....
11. ax:
F
10. Phone:- ....
12. Contractors Number
13. Certificate of Insurance:. Yes e, Noe
14. Contractors Signature: _
15. Authorized Agent ? ..., .... _ .
..TYPE OF WORK TO BE DONE
16. Please Check Curb: 0 Gutter: 0 Sidewalk: .11
-
17. Driveway (List Type):3 18. Other......
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions
written below, permission is hereby ranted.
'19 -Conditions Ax RetrQ e-rn
Underground Service Alert U.S.A must lie notified two workinj da rior to ^anexcavation. 800-227-2600
20. 111 All work shall conform to accompanying: Detail QPlans ❑-Special Conditions ❑
21. Date Issued:5 � ``" ` ` ' • - 22. Expiration Date: ' '. G 23. Surety: ,� es a( No
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 week.
Pzgc I of 2 ' '
General Conditions — See Page 2