HomeMy WebLinkAbout066-360-007SITE PLAN REVIEW APPLICATION
_Date: - 9— (2
AP#
Permit Number (if applicable) Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name:L/
Owners Address: N�Lr9 Ll�f /iT.50 �, /� 3 �0_ riQO Gv,4�
Telephone No.: Z Email:
Situs Address: (n %R.11D b'5 oile-
Proposed Use:
Residential
❑
New Single Family Residential
❑ Single Family Addition
❑
Mobile Home
❑
Residential Accessory
❑
Permanent Second Dwelling
❑
Temporary Mobile Home (Aunt Minnie)
❑
Temporary Travel Trailer
Q- Multi -:family_,
No -residential
New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
❑ Single Family Remodel
BIl
COUNTY
AUG 0 2 2PQ,4
DEVELUf;WM'iT--
SERVICES
❑ Commercial Remodel •
❑ Industrial Remodel
Other
❑ Septic ❑ Well
❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
❑ 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 tamped Approved
By Date% -
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: -?f--0V - 211�0v
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 arid, requirements)
Expansive Soils (Test for expansive soils and if verified proper foundation design required) jvko t;e. +-ff
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: k
• Flood Panel No.: ®(C& 7e-0([dOG Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (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)
❑ Oroville Enterprise Zone
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:
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
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:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area— Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ 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
the building permit.
Parcel Created By
II Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Ye
Deed of Reference: Legal Access Required ❑ No ❑ Ye
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/Notice 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
0 Subdivision Map/Parcel Map:
Map Date of Recording: ,f -Z6 '73
Lot: ? S,—
❑ Use Permit/Minor Use Permit
Permit Number:
Book: q3 Page: 5 -ill
Date of Approval:
Parcel Asap/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ 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. The Erosion Control Plan
must be prepared by a registered civil . engineer or otherqualified 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 road maintenance, and stop sign maintenance.
J
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.
CALarrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
ENVIRONMENTAL FIEAL TEl
BUTTE COUNTY JUL 21 2004
AGRICULTURAL BUFFER NOTIFICATION AND/OR �ICO' CALIFORNIA
UNUSUAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels..This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: �L/A 2,51 r4� Za Z—�%� Phone: � 7� /,3 c' 97
Mailing Address:
as9-
E-Mail address '—
Assessor's Parcel Number: �,
Reason you believe you qualify for the unusual circumstances exception: 7,
Owner or Authorized Agent's signature
z �/ �er-4
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
...................................................................................................................................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
.......................................................................................................................................................................................
For Agricul..tural Commissioner office use only: (to be completed after submittal )
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
❑ Exception Recommended ❑ Exception Granted with the
❑ Exception NOT Recommended following conditions:
�(Z Reason/Conditions/Specific setbacks from adjacent agricultural operations:
k c) 0- zr4 LL -s i✓ iPeeov r E. T y
r\,10 i �V-eez tjeezLp
Agricultural Department Signature: Date:
YMC 7/1/03
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
August 10, 2004
Magalia Neighborhood Development Corp.
C/o Harold Stimson
14340 Troy Way
Magalia, CA 95954
Subject: Environmental Health Permit — 066-340-007
Dear Mr. Stimson:
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Environmental Health Permit 066-340-007, and require the following information to
continue the review process.
• Erosion Control Plan (ECP): the subject parcel is located in a Watershed Protection
overlay zone for Paradise Lake and the Magalia Reservoir. This zone requires that for all
development an ECP be prepared and implemented to protect the county's surface and
ground water resources.
• "SRA" Setback: the state is responsible for fire suppression in your area, and they
require a thirty (30) foot side and rear building setback for parcels over an acre. You will
need their approval to encroach into the setbacks
Please return a complete ECP, prepared
Development Services, Planning Department.
call Chris Tolley, Assistant Planner, between
through Friday at (530) 538-7603.
Since ely,
eph W. Baker
Planning Manager
by a qualified professional, to Butte County
Should you have any questions please feel free to
the hours of 8:00 a.m. and 4:00 p.m. Monday
Enc. 24-235 "WP" Zone; 24-235.10 Policies, procedures and standards
ONNER'S CERTIFICATE
LARWIN DEVELOPMENTS INC.. A CORPORATION, AS OWNER OF THE LAND INCLUDEC
'.VI TH IN'SKYWAY PLAZA_AS SHOWN WITHIN THE COLORED BORDER
LINE ON THE ANNEXED MAI. AND CROVILLE TITLE.COMP.ANY. A CALIFORNIA
COR P DRAT! ON, A 40 ALLIANCE ESCROW CORPORATION, A CALIFORNIA CORPORATION,
AS TRUSTEES L'VDER RECORD DEEDS OF TWIST. OU IIE NEBY CERTIFY l'HAT WE
ARE 'IN(
CNIY PERSONS W OSE CONSENT IS NECESSARY TO PASS CLEAR TITLE
TO SAID LAKD AND WE COPISE14T TO THE PREPARATION AND RECORDATION OF SAID
IJpp AS SII O:R! WITHIN THE COLORED BORDER LINES. THOSE PORTIONS OF LAKERIOSE
CIRCLE, LACOURT AND SKYWAY AS SHOWN WITHI(1 THE COLORED BORDEN
LINES ON
SAID MAP ARE HEREBY OFFER
ED FOH OEUI CAT I UN FOR PUBLIC USE OR
COUNTY ROAD PURPOSES. 'YI ALSO OFFER FOR Of:DICATIGt(, AND 00 HEREBY DED-
ICATE FOR SPECIFIC PURPOSES. TIM FOLLOWING:
TAI RIGHTS OF WAY AND EASEMENTS FOR WATER, GAS. SEWER, AND DRAINAGE
PIPES. TOGETHER WITH ANY AND ALL APPL'RTENANCCS APPERTAINING THE RE TO.
ON, OVER. AND ON
DER THOSE STRIPS OF _ANO O E S I GVATED'PI:BL I C UTILITY
EASEMENT'. IN THE LOCATIONS AND OF THE WIOTMS SHOWN HEREON.
IB) EASEMENTS FOR LIGHT AND AIR OVER THOSE STRIPS OF LAND LYING
B E'(WEEN THE FRONT AND. SIDCL IN
OF LOTS AND THE LINES SHOWN HEREON
AND DESIGNATED'SET BACK LIVE. SAID STRIPS TO BE Y.F i'T OPEN AND FUEL
OF BUILD INC"
(C) RIGHTS OF WAY AND EAAEM-NTS FOR DHAINAC,E PIPES TOGETHER 1Y11'H ANY
AND ALL APPU P.TEN ANCES APPERTAINING THERE T O,OV, OVER AICD UNDER TIIOSE
STRIPS OF LAND OESIGNATEC"DRAINAGE CASEMENT'IN THE LOCATIONS AND OF
THE :V10'111 SHOWN HERF,OV.
(U) EASE ME N'IS i0R IINDE RGP.OUND WIRES AND
CO:JDU17S FOR ELE^.'I RIC AND TELEPIIONE. WATER, SEWER AND GAS SERVICE
TOGETHER WITH AI4Y AND ALL APPURTCKANCCS l'MERETO, Oti, OVER AND UNDER
STRIPS OF LAUD 10 FEET IN WIDTH 'WI TH IY TIIE LOTS AND CONTIGUOUS '10
ANY STREET OR OTHER PUBLIC WAY TOGETHER 'll ITR TIIE RIGH I' TO TRIM OR
HEMOw: ONLY TP.E NECESSARY TREES. TREE LIMBS OR BRUSH.
(E) NON-EXCLUSIVE EASEMENTS II! COMMON FOR INGRESS. EGRESS. VEHICULAR
PA RKIVG AND UNDERGROUND PUBLIC UTILITIES ON, OVER. UNDER AND ACROSS
THOSE STRIPS OF LAND DESIGNATED "PARKING EASEMENT°, IN TIIC LOCA'(IOAS
AND OF THE WIDTHS SM O'NN HEREON.
(F) NON-EXCLUSIVE EASEMEKTS IN COMMON FOR REDESTRIAN INGRESS AND
EGRESS AND UK DE R GR 0UV0 PUBLIC UTILITIES ON. OVER, UNDER AND ACROSS
THOSE. STRIPS OF LAND DESIGNATED "MALL". IN THE LOCATIONS AND OF THE
:'JIDTHS SHOWN HC.REON.
(G) AN EASEMENT TO (HE CDENTY OF BUTTE FOR DRAINAGE AND SEWAGE
OISPOS AL, AND FOR PUBLIC UTILITIES ON, OVER, UNDER AND ACROSS THOSE
PORTIONS DESIGNATED ME R F.ON AS "DRAINAGE AND LE..CH FIELD EASEMENT".
(HI AN EASEMENTFOR LIGHT AND AIR OVER THOSE PORTIONS OF LAND
DESIGNATED "RESTRICT FD USE ARF A", SAID FOR
TION5 OF LAND TG BE P.(.PT
OPEN AND FREE OF BUILDINGS. STRUCTURES ANO LEACH FIELDS.
SURVEYOR'S CERTIFICATE
I. OOV>'_D D. MCCORMI CX. DO IIE REB I' CERTIFY THAT ; AM A REGISTFRIO CIVIL
NCINEEP. 01 TIIE STATE OF CALIFORNIA. THAT TIIE ANNF.XEC MAP OF "SKYWAY
PLAZA• C.O RHE C TLY REPRESENTS A SURVEY MADE L'N DF.H MY
DIRECTION IN OCTOBER. 1972. THAT IT IS TRU F. AND COMPLETE AS SHOWN,THAT
THE MONUMENTS END -N TH_'REON ARE SET IN THEIR CORRECT POSITION AND ARE
SUFFICIElIT TO ENABLE THE SURVEY T3 BE RETRACED.
DO\ALD D. r.1-COR!A:CK N.C.E. 9033
1
A CE ESCROW CORPORATION. A CALIFORNIA CORPORATION.AS TRUSTEE
r X. r�l 1
r �-
\ -Jii
SPATE OF C IF IA 1 SS
COUNTY of 1
ON THIS -12 OF 1072,�IP7,
NDE RSIGNEC,A
NOTARY PUB IN AND FOR.AHE COUNTY OFERSONALLY
APPEARED_ !��KN OWV TO AIE TO Rf THE y WZ•I�
RESPECTIVELY, OF ALLIANCE ESCPOW CORPORATION, A CALIFORNIA CORPORATION,
'''RICH EXECUTED THE FOREGOING CF.RTIF I CA T E. AND KNOWN TO ME TO BE THE
PE PS OHS WHO EXECCTEU THE FOREDOING CERTIFICATE ON BEHALF OF TIIE CORPOR-
ATION THEREIN NAMED. AND ACKNONLEDGCD TO ME THAT SCCH CORPORATION
EXECUTED THE SAKE.
NOTARYPUBLIC
Y- .1S'Y�Lt.Gj}€ s. �„ N1817
,)ff'T:� CI APL(NEi. iAt:KS^IJ A
_ 109f HBEL E:: (AIEI D'
Y1tlYYBt1MI ISoyES RI_,_i.' O1 1t�rtry
OROVILLE TITLE COMPANY, A CALIFORNIA CORPORATION. AS TFJSTEE
STATE OF CALIFIA I c5
COUNTY OF AJuORNE )
ON THIS 24-7ADAY OFJA/C 1473, BEFOkIL NE. THE UNDERSIGNED. A
X OTARY PUB C IN NO i R TH [OUN'1'Y OF OR f PEO�SjONAL�:L Y
App 4N�CC/A 1XgT
KNOWN TO 61 HE'THE V/Cs- .P ll A14D Nff �': SIC
RESPECTIVELY. OF OROVILLE TITLE COMPANY, A CALIFORViA COHPOHA'TION.
WHICH EXE CUTE 'TIIE FORf.GOINT: CERTIFICATE, AND KN OW'N 10 ME '10 BE 'INE
PEflSONS WHO EXECIJTED THE FORE
CERTIFICATE ON BEHALF OF THE
CORPORATION T14EREIN NAMED, AND ACKNOWLE DGEO TO ME THAT 5L'CH CORPORATION
EXECUTED TIE SAME'.
STAOUNTTE Y%F�LI "ORN.A 155
Cy^ 1
ON TII S_gS.TDAY OF �1 1972, RE NE., THE UNOEHSIGNEJ,A
NOTARY f,YC IN ANq T7y CWRTY Cf E�$ONALLY AP -
BE IT
NO ° -
K 0}YN Y T'..TO BE THE `^'E'T r
R ES PECTIVEY.`Y'OIr LAR.YIN DEVELOPMENTS IHC T'YA'CODPDRAT ION
riH ICI'%ELUTED THE FOREGOING CERTIFICATE AND KNOWN 10 ME TO OE TIIE
PERSONS WHO EXECUTED THE FORGOING CER'T'IFICATE ON BEHALF OC THF. CORPORA -
CION THEREIN NAMEC, AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION
EXECUTED THE SAME.
JJII�;:Y�?,cin 1' =c.?�":;'•
NOTARY PUBLIC
MY COMMISSION EXPIRES '
�6Fit: ,1-SCA1.
C y7. ,C3EfITA UC^ ,
�4-? - F
AUDITOR'S CERTIFICATE
1, F.H. SEELY. JR.. AUDITOR OF TH: COUNTY OF BUTTE. STATE OF CALIFORNIA,
00 H. RE BY CERTIFY THAT THERE ARE 110 LIENS AGAINST SKYITAY
PLAZA". .AS HEREON SET FORTH. OR UI4PAID STATE. COUNTY MUNICIPAL ORCOUNTY LOCAL.
TAXES OR SPECIAL ASSESSMENTS COLLECTED .AS TAXES EXCEPT TAXES Ofl SPECIAL
ASSESSMENTS NOT YET PAYABLE. TAXES OH SPECIAL ASSESSMCN IS WHICH ARF A
L!F.N 01:7 N01' Y'EI PAYABLE, I ESTIMATE TO BE IN THE AMOUNT OF �-
F.H. SEELY. JH.. A DITO
COUNTY SURVEYOR'S CERTIFICATE
I, CLAY CASTLEBERHY. COUNTY SURVEYOR . OF THE COUNIY OF BUTTE,
STATE Or CAL F'ORN IA UO HEREBY' CEHT'•IFY -FHA1 I HAVE EXAMIINEU 1'NE FINAL MAP
OF "SKYWAY PLAZA", THAT IT IS SII B STANTIALLY TIE SAME AS
A?PEAF=D ON 'EHE FEW (A FIVE TAMP UN FILE ANU AMY APPROYSU ALTERATIONS
'/I::R COF, THAT AI.L PROVISI(JNS OF THE SUBDIV1510N MAP ACT OF THE STATE OF
CALIFORNIA. AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF
SAID h1AP IS TECHNICALLY CORRECT. -
ti
CLAY CASTLEBERRY. R.C.E. 147.24
COUNTY SURVEYOR, COUNTY OF BUTTE
COLWTY CLERK'S CERTIFICATE
1, CLARK A. NELSON, COUNTY CLERX OF THE CDU(ITY OF BUTT'. TATE OF
CALIFORNIA. OC HEREBY CERTIFY 'THAT ON 'THE `>T UAY 0
_.197J
THE BUTTE COUNTY BOARD OF SLPERVISORS OFFICIALLY APPROVF.0 THE SUBDIVI
SION MAP Of SKYWAY PLAZA'. THE RECEIPT OF SATI ACTORY
SECURITY IN TIIE AUDITORS ESTIMATED AMOUNT OF TO INSURE PAYMENT OF
TAXES WHICH ARE A LIEN BUT NOT YET PAYAHLE WAS ACKNOWLEDGED. 'THOSE
PGRTIONS OF LAKERIDGE C IRCLE,LAKERIOGE COURT AND SKYWAY, AS SHOWN WITHIN THE
f.01.01t EU OORD'_.RLINES ON SAID MAP AND OFFERED FOR GEO!CATION FOR PUBLIC
USE WERE ACCEPTED 014 BEHALF Oh THE PUBLIC FOR COUNTY ROAD PURPOSES.
CLARK
A. NELSON. COUNTY CLERK
BY
DEPUTY
RECORDER'S CERTIFICATE
RECORDED IN THE OFFICE OF THC RECORDER OF OUTTC COUNTY, --ATS OF
CALIFORNIA. AT THE REOUEST OF OROVILLLE TITLE C A' ANY AT MINUTES
FAST O'CLOCK A M. ON THE-i.=-_DAY
OF 13Tj. IN
BOOK_./IE•j_OF'AAPS. A1PAGES 2% /A -/r RECC�ORO:NG NUM R741SK
LOUISE KLUENDER. BUTTE COUNTY RECORDER
aY-,__
DEPUTY
SUBDIVISION NO. Y7
SKYWAY PLAZA
PTN. SEC. 25 a 36 ' T. 23 N.. R.3 E., M.D.M.
BUTTE COUNTY , CALIFORNIA
NOVEMBER 1972
THE MURRAY—MCCORMICK ENVIRONMENTAL GROUP
SHEET I OF 4 SHEETS
TAir PUBLIC
A9
C0IMISSION EXPIRES
LA/RWIN, DEVELOPMENT
)) tS. INC..
A CALIFO RN/I\A CO!JP ORATJ AS OO�NN�CR
My.�fiw�y _
1
STAOUNTTE Y%F�LI "ORN.A 155
Cy^ 1
ON TII S_gS.TDAY OF �1 1972, RE NE., THE UNOEHSIGNEJ,A
NOTARY f,YC IN ANq T7y CWRTY Cf E�$ONALLY AP -
BE IT
NO ° -
K 0}YN Y T'..TO BE THE `^'E'T r
R ES PECTIVEY.`Y'OIr LAR.YIN DEVELOPMENTS IHC T'YA'CODPDRAT ION
riH ICI'%ELUTED THE FOREGOING CERTIFICATE AND KNOWN 10 ME TO OE TIIE
PERSONS WHO EXECUTED THE FORGOING CER'T'IFICATE ON BEHALF OC THF. CORPORA -
CION THEREIN NAMEC, AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION
EXECUTED THE SAME.
JJII�;:Y�?,cin 1' =c.?�":;'•
NOTARY PUBLIC
MY COMMISSION EXPIRES '
�6Fit: ,1-SCA1.
C y7. ,C3EfITA UC^ ,
�4-? - F
AUDITOR'S CERTIFICATE
1, F.H. SEELY. JR.. AUDITOR OF TH: COUNTY OF BUTTE. STATE OF CALIFORNIA,
00 H. RE BY CERTIFY THAT THERE ARE 110 LIENS AGAINST SKYITAY
PLAZA". .AS HEREON SET FORTH. OR UI4PAID STATE. COUNTY MUNICIPAL ORCOUNTY LOCAL.
TAXES OR SPECIAL ASSESSMENTS COLLECTED .AS TAXES EXCEPT TAXES Ofl SPECIAL
ASSESSMENTS NOT YET PAYABLE. TAXES OH SPECIAL ASSESSMCN IS WHICH ARF A
L!F.N 01:7 N01' Y'EI PAYABLE, I ESTIMATE TO BE IN THE AMOUNT OF �-
F.H. SEELY. JH.. A DITO
COUNTY SURVEYOR'S CERTIFICATE
I, CLAY CASTLEBERHY. COUNTY SURVEYOR . OF THE COUNIY OF BUTTE,
STATE Or CAL F'ORN IA UO HEREBY' CEHT'•IFY -FHA1 I HAVE EXAMIINEU 1'NE FINAL MAP
OF "SKYWAY PLAZA", THAT IT IS SII B STANTIALLY TIE SAME AS
A?PEAF=D ON 'EHE FEW (A FIVE TAMP UN FILE ANU AMY APPROYSU ALTERATIONS
'/I::R COF, THAT AI.L PROVISI(JNS OF THE SUBDIV1510N MAP ACT OF THE STATE OF
CALIFORNIA. AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF
SAID h1AP IS TECHNICALLY CORRECT. -
ti
CLAY CASTLEBERRY. R.C.E. 147.24
COUNTY SURVEYOR, COUNTY OF BUTTE
COLWTY CLERK'S CERTIFICATE
1, CLARK A. NELSON, COUNTY CLERX OF THE CDU(ITY OF BUTT'. TATE OF
CALIFORNIA. OC HEREBY CERTIFY 'THAT ON 'THE `>T UAY 0
_.197J
THE BUTTE COUNTY BOARD OF SLPERVISORS OFFICIALLY APPROVF.0 THE SUBDIVI
SION MAP Of SKYWAY PLAZA'. THE RECEIPT OF SATI ACTORY
SECURITY IN TIIE AUDITORS ESTIMATED AMOUNT OF TO INSURE PAYMENT OF
TAXES WHICH ARE A LIEN BUT NOT YET PAYAHLE WAS ACKNOWLEDGED. 'THOSE
PGRTIONS OF LAKERIDGE C IRCLE,LAKERIOGE COURT AND SKYWAY, AS SHOWN WITHIN THE
f.01.01t EU OORD'_.RLINES ON SAID MAP AND OFFERED FOR GEO!CATION FOR PUBLIC
USE WERE ACCEPTED 014 BEHALF Oh THE PUBLIC FOR COUNTY ROAD PURPOSES.
CLARK
A. NELSON. COUNTY CLERK
BY
DEPUTY
RECORDER'S CERTIFICATE
RECORDED IN THE OFFICE OF THC RECORDER OF OUTTC COUNTY, --ATS OF
CALIFORNIA. AT THE REOUEST OF OROVILLLE TITLE C A' ANY AT MINUTES
FAST O'CLOCK A M. ON THE-i.=-_DAY
OF 13Tj. IN
BOOK_./IE•j_OF'AAPS. A1PAGES 2% /A -/r RECC�ORO:NG NUM R741SK
LOUISE KLUENDER. BUTTE COUNTY RECORDER
aY-,__
DEPUTY
SUBDIVISION NO. Y7
SKYWAY PLAZA
PTN. SEC. 25 a 36 ' T. 23 N.. R.3 E., M.D.M.
BUTTE COUNTY , CALIFORNIA
NOVEMBER 1972
THE MURRAY—MCCORMICK ENVIRONMENTAL GROUP
SHEET I OF 4 SHEETS
514EET
3 ,
lei' /APCIMe
EASl NlN1
5 E E
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LEGEND .. __
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OIIAINAGE IRS -ENT ID.E.1
."
•T�
2s
ALL LOT CORNERS HOT 'MOI CATEO BY
THE ABOVE SYMBOLS
V2 -!ted
BASIS OF BEARINGS -
THE CALIFONNIA COORDINATE SYSTEM ZONE 2
ESTABLISHED FROM TRIANGULATION STATION
SAWMILL (%•2.124.255.90 Y•781.649.98)
TO TRIANGULATION STATION BALD MOUNTAIN
I N•7.o145, 390.63 Y•932.949.421 BEARING
22 Z3'29. E AS SHOWN ON THAT AMENDED
RECORU OF SURVEY FILED IN BOOK 33 PAGES
93, 96. 97, 98 B 99 BUTTE COUNTY RECORDS.
DISTANCES SHOWN HEREON ARE GRID DISTANCES:
MULTIPLYBY 1.0001138 TO OBTAIN GROUND
DISTANCES.
!
lJ tle•t.ra OA 4B' aId Ip 1A, 11 Y ya' \\ry'�C:v/Ut Ij .j'^ TO BE 14ARKED BY 3/4" IRON PIPE 1YIT4 TAG a.C. E. 9033
°
$0, TOTAL D i�r i r 4.1� Y�V` �'�11 1 TOTAL ACRES 75.291
/�}L KERI maw„_. my, n.ei' °e•yo�\\ \\ `\ LOTS 70.390
I.A 1pi.tlit �.: iia' 4 \ ,.tYpp.O 02
j/- 1� r`e.t0��0)' i/'gt;l; 4•!!•30'51' L• \d•,.\ I. ROADS 4.403
3U [•iis°(f�•. - 6 si'i(•r!"E LOT A 0.500
r.: l
ar92
(ry`�
\/ c by '1'yetA nle•!!'I!•n /°%90'
2 628
p /
27
/ L\ r- o Na! 1/'b"C els le' \ e� IT" tYy'•,� °,°'
�••�
r•' ...,i RAIN4 nE AND :IiY
le
c / / 9 AyL ° / •
.. / _ 8 • ue.or .. 1
7/
/ / rte. .. a -Ii �i� fQy, lep.95• /0
L'
203VICINITY MAP
z I (''•1��' SUBDIVISION NO. -,5'7
SKY WAY PLAZA
j PTN. SEC. 25 81 36 T.23N.,R.3E.,M.D.M.
SHEET NO. 4 BUTTE COUNTY , CALIFORNIA
SCALE: 1"•100' NOVEMBER • 1972
4
SHEET INDEX THE MURRAY-Mc CORMICK ENVIRONMENTAL GROUP
SHEET 4 OF 4 SHEETS
S. I
NOTES
RESIDENTIAL
7
PERMIT NO.
04-2954
� ~ 066-360-007
SCI3WAR�I'SIBIEGLER,
NINISREW RD, MAGALIA
% 3?1 >
Cont: OW? IER
NEW SINGLE FAMILY
zog7
RPO�'L t 09 T6
u
c
•,
SPECIAL CONDITIONS t
CHECKED
BY.
`
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS ;
�t
VERIFY
cl
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
K,
z
OFFICE COPY
Address 43��f / �i/�l I
! GAS
' I Meter By Date I
'•
ELECTRIC
', Meter By Date
JOB FINALED (Date) ti6
Signature
_
J=OK
0 = Not OK
- = Not Applicable
= Not Ready
T
RESIDENTIAL (Single & Duplex)
Date UND FLOOR (Plans) OK except #'s
Zoning -Setbacks -Easements -Flood -Slope
tg., Main; Soils-Elec. Grnd.-/ 12 /" Ftg. Depth 6
g., Garage; Soils-Steel-Elec. Grnd.-/(2 /" Ftg. Depth .,gam
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5% walls, Main; Steel- Bloc ko ts-Wrapped
emwalls, Garage; Steel- Blockouts-Wra ed
ler Hctld Downs and Special Anchors
,,,,,cl.Xi.. Fall -Fitting -Test -2 Way C/0 -Sewer Test
Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
ater Pipe; Test-Anchors-Requlator-Service Test
16.
Date -2 l -O$ Card B-1 S - Date Card B-1
Date Card B-1 Date Card B-1
Date PLUM (Permit) OK except #'s
y__ -066r tr.; Vent -Access -Combustion Air Baffle
W er Pipe; Test & Anchor -Nail Protection
.W.V.; Test Fittings & Anchor -Nail Protection
20' Shower Pan; Test, First Floor -Tub Access
21. Te,FtTub & Shower, Second Floor -Tub Access
22�-Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
/ t
Date Card B-1 Date Card B-1
Date Card -1 Date Card B-1
Date ELE ICAL (Permit) OK except #'s
'35.-Elec eceptacles Spacing -Lights & Switches at Doors
iz oxes & No. of Conductors Stapled
7ex stalled Close to Edge of Studs & C.J.
Ground made up w/Mech Fasteners -Bond s & Water
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
Insulat d Neutral 0 Yes ❑ No
32. S is iser Conductors & Ground Main Disconnect
3 . Clearances Panels-Motors-Mech. Equip.
(:��7CIqthbs Closet Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHA (Permit) OK except #'s
Ducts Insulation & Support
nt Fan, Exhaust above insulatioy✓
. Coladensate Drain & Overflowe6ze & Grade
furnace -Vent Accese-G46b. Ait-Return Air Vent 115 Outlet
40. Attic Access,6 P�rajTj Arnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAM �P€rmit) gK except #'s
Is & Anchors
& Braces -Plates -Sound
aring Walls over Girders & Floor Nailing
raftop in Walls (rat proof)
W. Xe Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Z11
Date FRA G (Continued)
Post Caps -Anchors -Connectors
g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. A Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Pr • perty Line Firewall & Openings
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. S ',s; Width Headroom -Rise -Run -Landing -Fire Protection
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
Sidinp4ailing Veneer
58. SKcco Mesh -Drip Screed -Fd. Vents-Underflr. Access
ao., GlazPq Area -Glass Protect -Skylights-Plastic
60. SWar Walls; Nailing-BpK
Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration- IIs indows
Dat Card B-1 Date Card B-1
Date - (p Card B-1 Date Card B-1
Date FINAL s) OK acept #'s
ext Steps Door &Sidelight Protection -Landings
S - etector
. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
-BeM6om Exiting
6� .1. & Bath Fixtures & Tub Access -Spa
§4fEC: Trim & Subpanel, Breaker Sizes & Labels
49,= erS& Rails
J,1!Fffeplace or Stove, Clearance -Hearth
LZ—HeC. Outlets at Wood Panel, Int. & Ext.
7,q_"--F-xxt"& Appliance; Ground -Air -Gap -Cooking Clearance
jA—.EtLTc: Outlets & Receptacles at Kit. Counter
75 a Fire Door; Swing -Landing -Closure
7Z_*.e7'9uct in Garage -Damper `
77,rddtr.'Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
; Elec. & Mech. Equip. Listed for Location
79. eceptacles in Garage (FF.I.)-Romex Protection
80. tion -Foam -Looked in Attic
ar Rails & Deck Construction -Post Ceps
8 n. VBents & Crawl Hole Door Drainage & Wood -Earth
_ prance Looked under Floor ❑ Yes \.
86.7 Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No
84. Stucco.Brown- Finish
,05'A.C. Unit Disconnect, Electrical -Plumbing
Sys ,eve Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8J/Water Well, Disconnect, Electrical, Plumbing
Ve'Exterior Elec. Trim, G.F.I. Receptacle -Underground
8 entilation Throuqhout House
9 orrections from Previous Inspections
9 as Test -Meters Tagged, Gas -Electric
9a -Water & Sewer Connected -C/O to Grade -HD Approval
9 ergy Compliance Certificate -Other Certificates
a.41res, Posted
96.
Fire Sprinkler
Date D�
Date
Card B 1� Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
' J=OK
0 = Not OK
NotReadyab1e
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8.
1. ZA3ning Requirements -Setbacks -Easements
9. Tie Downs -Type -Installation Cert.
2. Soils; Special MH Support Sketch
Exits; Insp.-Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
Cert. of Occupancy
4. Water; Location -Test -Easement. Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
Card B-1 Date Card B-1
7. Well Clearance & Disconnect
Card B-1 Date Card B-1
8. Utility Clearance
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
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
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
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.
Verifv #'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
2.
Footings; Soils-Size-Depth=Spacing-Connectors-Steel
3.
Decks, Girders an Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts -Beams- Rftrs-Connectors
Shthg-Frg-Bracing '
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
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 k
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-Panelboards- 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
I
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT .SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
� i/iKly V/'�/G' /Ll /%fid 1/0) n oxy,s
Date 7 — /_ G Inspector 1�~T�. �/�i-�/I �l/ X�/�✓
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
x k, y �.` . �i:.-rte-: .•. �.e�---Y -�. ,. --tet. l I-,., , ,-�.r .--•..-.•-�--�--...... �..-.
BUILDING DIVISION .n
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
SC V�w'�\cz -� 5 o4-
OWNER -
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
eXDlanation. please contact the Buildino Insnectnr as indicated halnw
Date ��- -GS Inspector
REV 4/05 Phone # `1 3S _ G Z
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
F
... COUNTY OF BUTTE' ' ' • _ , . +
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
WNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at r
the above address and should be corrected. Please call for re -inspection when correction of _
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
TO
91V Com--/ Y < el 'i
IK llbc r6,11' ,
Date / / l Inspector
REV 4/05 + Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
t; COUNTY OF BUTTE''
BUILDING DIVISION
r DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA e* (530) 538-7541
t CORRECTION NOTICE
�S12 l\-LSOtu C1cl
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
. x.:.�'-fit.L.'-a^'F�;>t'.'��.�=;.-.r:;..:;K ti.r::_y='c•-r-+4f�J� +w ,- - _ _ .�.- _...�-.-... a- �.. .� ..
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive _Oroville, CA • (530) 538-7541
Y
CORRECTION NOTICE
a
OWNER PERMIT NO.
;d
X
A routine inspection indicates that the following violations of Butte County Ordinances exist at4
the above address and should be corrected. Please call for re -inspection when correction of ,a
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below. l
Date
-3r Ins ector f o G., n ) It 'A
REV 4/05
P
Phone #. S3 i —5-3 COY
FOR RE -INSPECTION CALL:..538-7636 OR 891-2834
L
,k. ..
COUNTY OF BUTTE
Y BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES �
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed..)f you have any questions pertaining to this matter, or need additional
explanation, plea contact the Building Inspector as indicated below.
5
74
WK
Date6-2 Inspector' / 1,7
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 534r.7636 OR 891-2834
. . . . . . . . . . . .
COUNTY OF BUTTE
BUILDING DIVISION l
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
Jl CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above addr s and should be corrected. Please call for re -inspection when correction of
work is comp) ted. If you have any questions pertaining to this matter, or need additional
explanation, lease contact the Building_ Inspector as indicated below.
1//
Z L /�
/101/l!l G� ddI', 6"Iv17Z1,1t Gil art/f 14/ i A i
7 sA4&a&x . -7��
P �✓ L //?T
-H -/ 02 dr- a&n /,v
Date �s' "G� Inspector /--��//e#A-71_1 ( A//
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
Oft
AR
Date 4 1 �� F
y Inspector /
x
REV 4/05 Phone #���
FOR RE- INSPECTION CALL: 538-7636 OR 891-2834
.o
OF BUTTES
f (COUNTY
BUILDING DIVISION
d DEPARTMENT°OF DEVELOPMENT:SERVICES
7 County Center Drive - Oroville, CA -;(530) 538-7541
CORRECTION NOTICE
-x
�;7 L C1
OWNER PERMIT NO.
`a
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
ted. 'Ifyou have any questions pertaining to this matter, or need additional
work is/Cio0m
explanaase contat the Building Inspector as indicated below.
;
�4
/y/�/
Oft
AR
Date 4 1 �� F
y Inspector /
x
REV 4/05 Phone #���
FOR RE- INSPECTION CALL: 538-7636 OR 891-2834
.o
b�
N
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP042954'
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/23/2005 APN: 066-360-007-000
the Business and Professions Code, and my license is In full force and
effect.
License Class : License Number: Site Address: 13811 NIMSHEW RD MAG
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
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 penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation• will do the work, and - the- structure Is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Stale License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
411 I, as owner of the property, am exclusively contracting with
licensed contractors. to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not.apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Slate License Law.).
❑ 1 am Exempt under Article 3 of usiness and Professions Code
Dale: S�OWner:
WORKERS' CO PE SATION DECLARATION
I hereby affirm under penalty df4erjury 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 the Labor Code, for the performance of
the work for which this permit is issued. 'My workers' compensation
insurance carrier and -policy number are:
Carrier:
Policy #:
�j 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'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Caile to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3708 of the Labor
code, interest, and attorney's fees.
- ` 'CONSTRUCTION LENDING AGENCY = -
I hereby affirm that there'is a construction lending agency for the
performance of the work'for which this permit is issued (Sec 3097 Civ.)
Name: _
Map Index:
Description: NSF (1530) ATT GAR (480) COV (20)
Owner: JAMES D. & KAREN D. BRANSON
7771 MICA ST
STIRLING CITY CA
95978
(530) 872-4462 FAX (5301872-4462.
Applicant: SCHWARTZ, CAREY
FOR: JAMES BRANSON
P 0 BOX 2041
PARADISE, CA 95967
Contractor:
License #:
Architect: ANDERSON, DAVID
Engineer:
Total Square Ft: 2030 S.F.
Valuation: $111,290.00
Census Code:
A/u Y3 Ct
permit is hereby Issued under applicable provisions of the Butte County Code and/cr- -
> lutlonVYdo work indicated ov for which fees have been paid. _
i% Date:
I PERMIT EXPIRES ON: <. p1 <Jy
Address: !Date
❑* 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Notification In accordance with Section 18827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
�❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
,all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby
•Bulhorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes
Print Name: �� �'� -y ' Signature:
Date:
.Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor
Wegener Engineering Group
Pro'ect: Jim Branson Residence - Foundation Wall Date: October 27, 2005
Location: 13811 Nimshew Road, Magalia, CA By: mw Ch: SM:
2x STUD WALL W/
SLAB & REINF A,B. PER PLAN
PER PLAN
2'-p• #4 @ 12' OC EA WAY (TYP)
NATURAL GRADE LAP-*�
6' FILL
FINISH GRADE
OFESSIp�J9
CA
. p 3
6/-0# s ( 11 P
° ATF OF CA11F0
VERT REINF CEf tf RED ,
3' C 1'-0' MIN
71
I Ir
Op j
Illiii...JJ J��� } n M L.,.i 9'b
_.. ° � .:
1'-2a MIN
NOTES:
1. FILL MATERIAL UNDER BUILDING AREA SHOULD BE PLACED
AS ENGINEERED FILL AND COMPACTED IN—PLACE IN
ACCORDANCE WITH INDUSTRY STANDARDS.
2. FOUNDATION. CONCRETE: f'c = 2,500 psi @ 28 DAYS
3. REINFORCING STEEL: ASTM A615 (GRADE 40)
4. CONCRETE IS TO BE PLACED ON FIRM UNDISTURBED NATIVE
MATERIAL, FREE OF LOOSE MATERIAL AND STANDING WATER:
�' Z' � Lr�i I�-ro Num ►��i-�1� �l.�T� � /�1=��Zi N �-��
WEGENER ENGINEERING GROUP
P.O. Box 2493, Paradise, California 95967
(530) 873-7731 Fax (530) 873-9762
November 17, 2005
Department of Development Services
Building Division
7 County Center Drive ;
Oroville, CA 95965
Attention: Building Inspections
Re: Jim Branson Residence
APN: 066-360-007, Butte County ;
13811 Nimshew Road, Magalia, CA
To Whom It May Concern:
This corresp9ndence is intended to serve as foundation verification for footings cut into
fill material on -the above referenced project] On November 16 and 17, 2005 a site visit
was conducted at the above referenced probe A site for the purpose of visually verifying
foundation trench bottoms on the fill side of the building footprint at or below 12" into
natural grade. At the time of the site visit fo',:ndation trenches were dug, form board
installations were in progress, and some reinforcing steel was in place. Roughly 501/o of
the building footprint is covered in native fill, with 50% in cut. Trench depths in the fill
area ranged from l'-6" to 6'-1" below the,tcp of the sub -grade. Trench bottoms were
based a minimum of 12" into native materiaNheeting code requirements for the structural
support of one floor and one roof.
This foundation verification is not to be usedl as an approval for a concrete pour or fill
material placed within the building footprint Footing trenches must be cleared of all
debris and loose material and be properly inspected by county building inspections prior
to any concrete pour. Fill material under building areas should be placed as engineered
fill and compacted in-place in accordance with industry standards.
r
If you have any questions or concerns regarding this report, please feel free to call me at
(530) 873-7731.
Sincerely,
��w �
Mark Wegener, PE
t
I, Matt Branson did adhere to the following safety
procedures when installing our plumbing with cpvc
pipe on our house located at 13 811 Nimshew Rd. in
Magalia, Calif. County of Butte.
1. Area was properly ventilated
2. Proper flushing procedures were adhered to
3. Rubber gloves, were worn
4. I am aware of the health risks and hazards
associated with using these materials
5. I did a thorough study of proper procedures and
risks involved before installing these materials
6. Safety glasses were worn at all times
�10-or/54-
e
a�
5 9�0
Culligan -Water Conditioning 0
2377 Ivy Street Chico, CA 95928;
530-895-1666
August 16, 2006
ro
Mrs. Branson vs g�VO
1739 Sherman Ave
Chico, Ca. 9.5926
Phone # 345-5772
r
t
RE,;. WATER ANALYSIS
Dear Mrs. Branson:
I tested the water at 13811 Nimshew Rd. The water tested as follows`
PH: 7.0
Iron: Zero
Hardness: 8 grains
Total dissolved salts: 104 ppm
This water is .aggressive to copper or galvanized plumbing'. I recommend the
house be plumbed with plastic (PEX, CPVC; or EQUIVALENT) plumbing to prevent
premature failure of the plumbing system due to corrosion.
If you have any` questions please don't hesitate to call.
Sincerely,
Rex Munroe
Grade 2 Operator
E ,
RESIDENTIAL, COMMERCIAL, INDUSTRIAL WATER TREATMENT PRODUCTS AND SERVICES
CULLIGAN DEALERSHIPS ARE -INDEPENDENTLY OPERATED,
NSF Certified Products - Plumbing and Related Products Page 1 of 6
NKSF Product and Service Listings
These Listings were Last Updated on Monday, August 21, 2006 at 4:15 AM Eastern Time.
Please contact NSF International. to confirm the status of any Listing, report errors, or make
suggestions.
Warning: NSF is concerned about fraudulent downloading and manipulation of website text. If you have
received this listing in hard copy, always confirm this certification/listing information by going directly to
http://www.nsf_org/Certified/Plumbin /Listings.asp'?Trade.Name=Geno�aSM:aterialTxpe..-CPVC& for the
latest most accurate information.
NSF/ANSI STANDARD 14
Plastics Piping System Components and Related Materials
Click here for a list of End Use Code -Designations.
Click on Product Standards in blue to view the referenced document
GENOVA PRODUCTS, INC.
7034 EAST COURT STREET
P.O. BOX 309
DAVISON, MI 48423
800-521-7488
810-744-4500
Facility: RENSSELAER, IN
Potable Water - Pipe and Fittings
Product Type Material Type Trade Name Product Standard
Tubing+ CP VC 4120 GENOVA ASTMD2846
1/2" thru 3/4" SDR 11
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Tubing+ CPVC 4120 GENOVA FLOWGUARD ASTMD2846
GOLD
http: //www.nsf. org/Certified/Plumbing/Listings. asp?TradeNarrie=Genova&ProductStand... 08/21/2006
NSF Certified Products - Plumbing and Related Products
1/2" thru 2" SDR 11
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Facility: FARIBAULT, MN
Page 2 of 6
http ://www.nsf. org/Certified/Plumbing/Listings. asp?TradeName=Genova&ProductStand... 08/21/2006
Potable Water - Pipe and Fittings
Product Type
Material Type
Trade Name
Product Standard
Tubing$ +
CP VC 4120.
GENOVA
ASTMD2846
3/8" thru 2" SDR 11
$ Product Designation may either be Genova
or Uncopper
+ Material complies
with NSF/ANSI Standard
61 health effects
requirements.
Tubing+
CP VC 4120
GENOVA FLOWGUARD ASTMD2846
GOLD
1/2" thru 2" SDR 11
+ Material complies
with NSF/ANSI Standard
61 health effects
requirements.
Fittings$ +
CP VC 41
GENOVA
BS 7291
45 Elbows
1 1/4"
1 "
16mm
20mm
25mm
3/4"
32mm
45 Street Elbows
16mm
20mm
25mm
3/4"
32mm
90 Elbows
1 1/4 "
1 "
16mm
20mm
25mm
3/4"
32mm
90 Street Elbows
16mm
20mm
25mm
3/4"
32mm
Bushings Sch CPVC
1 1/2" x 1"
1 1/4" x 1"
1 1/4" x 3/4"
1" x 3/4"
2" x 3/4"
20mm x 16mm
25mm x 16mm
25mm x 20mm
32mm x 25mm
Caps
1 1/4"
1 "
16mm
20mm
25mm
3/4"
32mm
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NSF Certified Products - Plumbing and Related Products
Couplings
Page 3 of 6
1 1/4" 1"
16mm
20mm
25mm 3/4"
3/4" x 1/2"
32mm
Female Threaded Adapters
1" 3/4"
Male Threaded Adapters
1 1/4" * 1"
3/4"
Reducing Tees
1 1/4" x 1 1/4" x 1" 1 1/4" x 1 1/4" x 3/4"
1" x 1" x 3/4"
20mm x 16mm x 16mm
20mm x 16mm x 20mm 3/4" x 1/2" x 3/4"
Tees
1 1/4" 1 "
16mm
20mm
25mm 3/4"
32mm
$ Product Designation may either be Genova
or Uncopper
+ Material complies with NSF/ANSI Standard
61 health effects
requirements.
Tubing$ + CP VC 4120
GENOVA
BS 7291
1/2" thru 2" 16mm thru 50mm
$ Product Designation may either be Genova
or Uncopper
* xx indicates size of the fitting
+ Material complies with NSF/ANSI Standard
61 health effects
requirements.
** Certification is to parts 1 and 4, Class H.
Fittings$ + CP VC 41
GENOVA
ASTMD2846
45° Elbows
1 1/2" 1 1/4"
1"
1/2"
2" 3/4"
45° Street°Elbows
1/2" 3/4"
90° Elbows
1 1/2" 1 1/4"
1"
1/2"
2" 3/4"
3/4" x 1/2"
90° Street Elbows
1/2" 3/4"
Bushings
1 1/2" x 1 1/4" 1 1/2" x 1"
1 1/2" x 1/2"
1 1/2" x 3/4"
1 1/4" x 1" 1 1/4" x 1/2"
1 1/4" x 3/4"
1" x 1/2"
1" x 3/4" 2" x 1 1/2"
2" x 1 1/4"
2" x 1"
2" x 1/2" 2" x 3/4"
3/4" x 1/2"
Caps
http://www.nsf org/Certified/Plumbing/Listings.asp?TradeName=Genova&ProductStand... 08/21/2006
NSF Certified Products - Plumbing and Related Products
1 1/2" 1 1/4" 1" 1/2"
211. 3/4"
Couplings
1 1/2" 1 1/4" 1" 1/2"
2" 3/4" 3/4" x 1/2"
Female Threaded Adapters
1" 1/2" 1/2" x 1/8" NPT 3/4"
Female wing Ell
1/2" CPVC X 1/2" FIP
Male Threaded Adapters
1 1/2" 1 1/4" 1" 1/2"
2" 3/4"
Reducing Tees
Page 4 of 6
1 1/2" x 1 1/2" x 1 1/4" 1 1/2" x 1 1/2" x 1" 1 1/2" x 1 1/2" x 1/2" 1 1/2" x 1 1/2" x 3/4"
1 1/4" x 1 1/4" x 1" 1 1/4" x 1 1/4" x 1/2" 1 1/4" x 1 1/4" x 3/4" 1" x 1" x 1/2"
1" x 1" x 3/4" 2" x 2" x 1 1/2" 2" x 2" x 1 1/4" 2" x 2" x 1"
3/4" x 1/2" x 1/2" 3/4" x 1/2" x 3/4" 3/4" x 3/4" x 1/2"
Tees
1 1/2" 1 1/4" 1" 1/2"
2" 3/4"
Wing Ell
1/2" CPVC X 1/2" CPVC
Wing Tee
1/2" CPVC
$ Product Designation may either be Genova or Uncopper
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Fittings (PW)% + CPVC 41/36000/28800 GENOVA UNION ASTMF1970
1/2" CPVC x 1/2" Brass FIP
1/2" CPVC x 1/2" Brass MIP
1/2" CPVC x 1/2" CPVC
3/4" CPVC x 3/4" Brass FIP
3/4" CPVC x 3/4" Brass MIP
3/4" CPVC x 3/4" CPVC
% Product tested for use in commercial hot water (180°F) applications with a
rated pressure of 100 PSI.
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Fittings (PW)% + CPVC 41/CDA 37700 GENOVA MH ASTMF1970
1/2" CPVC x 1/2" Brass Compression
1/2" CPVC x 1/2" Brass Slip
1/2" CPVC x 1/2" FIP
http://www.nsf org/Certified/Plumbing/Listings.asp?TradeName=Genova&ProductStand... 08/21/2006
NSF Certified Products - Plumbing and Related Products
1/2"
CPVC x 1/2"
MIP
1/2"
CPVC x 3/4"
MIP
3/4"
CPVC x 3/4"
Brass Compression
3/4"
CPVC x 3/4"
Brass Slip
3/4"
CPVC x 3/4"
FIP
3/4"
CPVC x 3/4"
MIP
Transition Unions
Product tested for use in commercial hot water (180°F) applications with a
rated pressure of 100 PSI.
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Appurtenance (PW)% + CPVC 41 GENOVA ASTMF1970
Straight Line Valve
1/2" 3/4"
Supply Valve
1/2"
Product tested for use in commercial hot water (180°F) applications with a
rated pressure of 100 PSI.
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Appurtenance (PW)% + CPVC 41 GENOVA ASTMF1970
Lavatory Riser Adapter
1/2" CTS x 1/4" 1/2" CTS x 3/8"
Lavatory Riser Adapter Nut
1/4" 3/8"
% Product tested for use in commercial hot water (180°F) applications with a
rated pressure of 100 PSI.
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Fittings% + CPVC 41 GENOVA ASTMF1970
Swivel Coupling Fixture
1/2"
Swivel Elbow Fixture
1/2"
Swivel Elbow Riser Adapter
1/2"
Product tested for use in commercial hot water (180°F) applications with a
rated pressure of 100 PSI.
+ Material complies with NSF/ANSI Standard 61 health effects requirements.
Page 5 of 6
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Genova Plumbing Products
Ns
Page 1 of 2
PLUMBING I RAINGUTTER I MARINE/RV I FENCING I RAILING ( LATTICE I DECKING f WIRE MANAG
HISTORY
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NEWS
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LOCATIONS
LINKS
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DOWNLOADS
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CONTACT US
HOME
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And Genova products are widely available
in hardware stores, home centers, and by
mail order catalog.
�s�plu'mtin"g',]
�yto_go
Genova Products, Inc. has been a lead
do-it-yourself plumbing industry since 1
are the worlds largest manufacturer of
plumbing, and the only company to ma
house plumbing pipe and fittings -- fron
or water line to the sewer or septic sysi
plumbing is not only easy to install, but
virgin vinyl used in Genova products la
and works better than other plumbing s
i Iumbing!`Lts,easy-with Genova!
Genova publishes a do-it-yourself guide to plumbing! This fully illustrated
makes you the plumbing expert. See how easy and economical it is to ply
whole house or addition, install a sump pump and even build a sewer-sel
system utilizing today's modern plastic piping materials.
r—lnstructions/7 The "Do -It -Yourself' book is the most comprehensive book yet on modern plumbing in.
Brochures
and deserves a prominent place in your "how-to" library. (Cost is $9.95 plus $4.25 S&l
Catalog Print out an order form and mail it today! Or call us at 1-800-521-7488 ext. 1277!
Plumbing lines available at Genova:
The below catalog pages are in .PDF format which requires Acrobat Reader 3.0 or better to view them. If you
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j ,,
1
t j
•
hp
i
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j ,,
Genova Plumbing Products
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a current version of Acrobat Reader or don't have it at all, click on the link below to download it now.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Adobe Reader
Solvents and Roof Flashings
xxxMaterial Safety Data Sheets
Tubular Products - These polypropylene fittings are used for drainage applications from the fixture to the do
PVC Pressure Pipe & Fittings ISch. 40). - Used in cold water pressure applications only, such as irrigation t
sprinkler systems. Pipe and fitting sizes are the same as iron pipe sizes.
PVC Sch. 80 Nipples - Used for sprinkler systems where an extension is needed for the sprinkler head to bE
ground level.
PVC Pressure Fittings -(Sch. 80) - Used in cold waterpressure applications only, such as irrigation and sprit
systems. Pipe and fitting sizes are the same as iron pipe sizes.
Plastic & Steel Insert Fittings - Used in cold water pressure applications only, such as irrigation and sprinkl
systems. Size = iron pipe size.
PVC Sewer Pipe, PVC and Styrene Fittings - Used for sewer lines, septic tank and seepage systems.
Standard CPVC Tubing & Fittings, Pex Tubing -Used in potable hot and cold water pressure applications,
water main to fixtures. Sizing equals copper pipe size.
Flowguard Gold CPVC Tubing & Fittings - Used in potable hot and cold water pressure applications, from
to fixtures. Sizing equals copper pipe size.
Universal Fittings & Specialty Items - Adapts to copper, CPVC, PEX and other tube size products.
Sch. 30 In -Wall PVC-DWV Pipe and Fittings -Specially made to be used inside a 2"x 4" stud wall construc
in drain -waste -vent applications.
Sch. 40 PVC-DWV Pipe and Fittings - Used in drain -waste -vent applications.
ABS-DWV Foamcore Pipe & Sch. 40 ABS-DWV Fittings - Used in drain -waste -vent applications.
Polyethylene Pipe - Used in cold water pressure applications only. Such as irrigation and sprinkler systems.
Check Valves - Used to prevent discharge line backflow into sump pit.
History I News I Locations I Links I Contact Us
ff�PlumbingzJ Rainware I Marine/RV I Fencing. Railing i Lattice 1 pecking ] Wire Management I Catalog
- _ -- - = _
http://www.genovaproducts.com/plumbing.htm 8/17/2006
SECTION 10
Boiling Point:
Melting Point:
Vapor Pressure:
Vapor Density:
Volatile Components:
Solubility In Water:
pH:
Specific Gravity:
Evaporation Rate:
Appearance:
Odor:
Will Dissolve In:
Material Is:
SECTION 11
Stability:
Conditions To Avoid:
Hazardous
Decomposition
Products:
Incompatibility/
Materials To Avoid:
Hazardous
Polymerization:
PHYSICAL AND CHEMICAL PROPERTIES
151 `Degrees F / 66 C
N/A
145 mmHg Q 20 Degrees C
(Air = 1) 2.5
70-80%
Negligible
N/A
0.95 +/- 0.02
(BUAC = 1) = 5.5 - 8.0
Orange Liquid
Ether -Like
Tetrahydrofuran
Liquid
STABILITY AND REACTIVITY
Stable.
Avoid heat, sparks, flames and other sources of ignition.
Combustion will produce toxic and irritating vapors
including carbon monoxide, carbon dioxide and hydrogen
chloride.
Oxidizing agents, alkalies, amines, ammonia, acids, chlorine
compounds, chlorinated inorganics (potassium, calcium and
sodium hypochlorite) and hydrogen peroxides. May attack
plastic, resins and rubber.
Will not occur.
SECTION 12 DISPOSAL INFORMATION
Waste Disposal: Dispose in accordance with current local, state and federal
regulations.
Latest Revision Date: 7/22/02 Page 3 of 5
MEDIUM ORANGE LO-VOC CPVC CEMENT
SECTION 9
EXPOSURE CONTROLS/PERSONAL PROTECTION
Ventilation:
COpen_doors & winder. Provide ventilation capable of maintaining
emissions at the point of use below recommended exposure limits. If
used in enclosed area, use exhaust fans. Exhaust fans should be
explosion -proof or set up in a way that flammable concentrations of
solvent vapors are not exposed to electrical fixtures or hot
surfaces.
Respiratory
For operations where the exposure limit may be exceeded, a NIOSH
Protection:
approved organic vapor respirator or supplied air respirator is
recommended. Equipment selection depends on contaminant type and
concentration, select in accordance with 29 CFR 1910.134 and good
industrial hygiene practice. For firefighting, use self-contained
breathing apparatus.
Skin
RulSber gloves are suitable for normal use�of the product. For long
Protection:
exposures product chemical resistant gloves may be required such as
4H(tm) or Silver Shield(tm) to avoid prolonged skin contact.
Eye
Safety glasses with sideshields_or safety goggles
Protection:
Other:
Eye wash and safety shower should be available.
SECTION 10
Boiling Point:
Melting Point:
Vapor Pressure:
Vapor Density:
Volatile Components:
Solubility In Water:
pH:
Specific Gravity:
Evaporation Rate:
Appearance:
Odor:
Will Dissolve In:
Material Is:
SECTION 11
Stability:
Conditions To Avoid:
Hazardous
Decomposition
Products:
Incompatibility/
Materials To Avoid:
Hazardous
Polymerization:
PHYSICAL AND CHEMICAL PROPERTIES
151 `Degrees F / 66 C
N/A
145 mmHg Q 20 Degrees C
(Air = 1) 2.5
70-80%
Negligible
N/A
0.95 +/- 0.02
(BUAC = 1) = 5.5 - 8.0
Orange Liquid
Ether -Like
Tetrahydrofuran
Liquid
STABILITY AND REACTIVITY
Stable.
Avoid heat, sparks, flames and other sources of ignition.
Combustion will produce toxic and irritating vapors
including carbon monoxide, carbon dioxide and hydrogen
chloride.
Oxidizing agents, alkalies, amines, ammonia, acids, chlorine
compounds, chlorinated inorganics (potassium, calcium and
sodium hypochlorite) and hydrogen peroxides. May attack
plastic, resins and rubber.
Will not occur.
SECTION 12 DISPOSAL INFORMATION
Waste Disposal: Dispose in accordance with current local, state and federal
regulations.
Latest Revision Date: 7/22/02 Page 3 of 5
Aggravated By
Exposure:
Latest Revision Date: 7/22/02 Page 4 of 5
MEDIUM ORANGE LO-VOC CPUC CEMENT
SECTION 13
TOXICOLOGICAL INFORMATION
Inhalation:
Vapors or mists may cause mucous membrane and respiratory
irritation, coughing, headache, dizziness, dullness, nausea,
shortness of breath and vomiting. High concentrations may cause
central nervous system depression, narcosis and unconsciousness.
May cause kidney, liver and lung damage.
Skin:
May cause irritation with redness, itching and pain. Methyl
ethyl ketone and cyclohexanone may be absorbed through the skin
causing effects similar to those listed under inhalation.
Eye:
Vapors may cause irritation. Direct contact may cause irritation
with redness, stinging and tearing of the eyes. May cause eye
damage.
Ingestion:
Swallowing may cause abdominal pain, nausea, vomiting and
diarrhea. Aspiration during swallowing or vomiting can cause
chemical pneumonia and lung damage. May cause kidney and liver
damage.
Chronic
Prolonged or repeated overexposure cause dermatitis and damage
Toxicity:
to the kidney, liver, lungs and central nervous system.
Toxicity Data:
Cyclohexanone: Oral rat LD50: 1,620 mg/kg
Inhalation rat LC50: 8,000 ppm/4 hours
Skin rabbit LD50: 1 mL/kg
Tetrahydrofuran: Oral rat LD50: 1,650 mg/kg
Inhalation rat LC50: 21,000 ppm/3 hours
Methyl Ethyl Ketone: Oral rat LD50: 2,737 mg/kg
Inhalation rat LC50: 23,500 mg/m3/8 hours
Skin rabbit LD50: 6,480 mg/kg
Sensitization:
None of the components are known to cause sensitization.
Carcinogenicity:
None of the components are listed as a carcinogen or suspect
carcinogen by NTP, IARC or OSHA. The National Toxicology Program
has reported that exposure of mice and rats to Tetrahydrofuran
(THF) vapor levels up to 1800 ppm 6 hr/day, 5 days/week for
their lifetime caused an increased incidence of kidney tumors in
male rats and liver tumors in female mice. The significance of
these findings for human health are unclear at this time, and
may be related to "species specific" effects. Elevated
incidences of tumors in humans have not been reported for THF.
Mutagenicity:
Cyclohexanone has been positive in bacterial and
mammalian assays. Tetrahydrofuran was positive in a bacterial
assay. Methyl ethyl ketone is not considered genotoxic based on
laboratory studies.
Reproductive
Methyl ethyl ketone and cyclohexanone have been shown to cause
Toxicity:
embryofetal toxicity and birth defects in laboratory animals.
Tetrahydrofuran has been found to cause adverse
developmental effects only when exposure .levels cause other
toxic effects to the mother.
Medical
Persons with pre-existing skin, lung, kidney or liver disorders
Conditions
may be at increased risk from exposure to this product.
Aggravated By
Exposure:
Latest Revision Date: 7/22/02 Page 4 of 5
MEDIUM ORANGE LO-VOC CPVC CEMENT
SECTION
14 TRANSPORTATION INFORMATION
Quantity:
DOT
Less than 1 Liter (0.3 gal)
Greater than 1 Liter (0.3 gal)
Proper
Shipping Name:
Consumer Commodity
Adhesives
Hazard
Class/Packing
Group: ORM-D
3, PGII
UN/NA Number:
None
UN1133
Hazard
Labels:
None
Flammable Liquid
IMDG
Proper Shipping Name: Adhesives
Hazard Class/Packing Group: 3, II
UN Number: UN1133
Label: None (Limited Quantities
are excepted
from labeling)
RCRA Hazardous Waste Number: U057, U159, U213
EPA Hazardous Waste ID Number: D001, D035, F003, F005
EPA Hazard Waste Class: Ignitable Waste. Toxic Waste
Adhesives
3, II
UN1133
Class 3 (Flammable
Liquid)
(Methyl Ethyl Ketone content)
SECTION 15 REGULATIONS
Hazard Category for Section Acute Health, Chronic Health, Flammable
311/312:
Section 302 Extremely This product does not contain chemicals regulated
Hazardous Substances (TPQ): under SARA Section 302.
Section 313 Toxic Chemicals: This product contains the following chemicals
subject to SARA Title III Section 313 Reporting
requirements:
Chemical CAS #
Methyl Ethyl Ketone 78-93-3 30-40%
CERCLA 103 Reportable
Spills of this product over the RQ (reportable
Quantity:
quantity) must be reported to the National Response
Center. The RQ for the product, based on the RQ for
Tetrahydrofuran (45% maximum) of 1,000 lbs, is 2,500
lbs. Many states have more stringent release
reporting requirements. Report spills required under
federal, state and local regulations.
California Proposition 65:
This product contains trace amounts of chemicals
known to the State of California to cause cancer.
Under normal use conditions, exposures to these
chemicals at levels above the State of California
"No Significant Risk Level" (NSRL) are unlikely.
Oatey strongly encourages the use of proper personal
protective equipment (PPE) and ventilation
guidelines noted in Section 9 to minimize exposure
to these chemicals.
TSCA Inventory:
All of the components of this product are listed on
the TSCA inventory.
SECTION 16 DISCLAIMER
The information herein has
been compiled from sources believed to be reliable, up-
to-date, and is accurate to
the best of our knowledge. However, Oatey cannot give
any guarantees regarding information
from other sources, and expressly does not make
warranties, nor assumes any
liability for its use.
Latest Revision Date: 7/22/02 Page 5 of 5
SECTION 1
Trade Name:
Product Numbers:
Formula:
Synonyms:
Firm Name &
Mailing Address:
Oatey Phone Number
Emergency Phone
Numbers:
SECTION 2
INGREDIENTS:
Cyclohexanone
Tetrahydrofuran
MEDIUM ORANGE LO-VOC CPVC CEMENT
IDENTITY OF MATERIAL
OA TEY_MEDIUM_ORANGE_LO-VOC CPVC—CEMENT
31820, 131-Q7211, 31822, 31823
CPVC Resin in Solvent Solution
CPVC Plastic Pipe Cement
OATEY CO. 4700 West 160th Street P.O. Box 35906 Cleveland,
Ohio 44135, U.S.A. http://www.oatey.com
(216) 267-7100
For Emergency First Aid call 1-303-623-5716 COLLECT. For
chemical transportation emergencies ONLY, call Chemtrec at
1-800-424-9300
Methyl Ethyl Ketone
CPVC Resin
(Non -hazardous)
Amorphous Fumed Silica
(Non -hazardous)
Orange Colorant
(Non -hazardous)
COMPOSITION
%: CAS NUMBER
ACGIH TLV TWA: OSHA PEL TWA: OTHER:
5
- 15%
108-94-1
25 ppm(skin)
30
- 40%
109-99-9
200 ppm
750 ppm STEL
30
- 40%
78-93-3
200 ppm
13
- 16%
68648-82-8
10 mg/m3
1
- 3%
112945-52-5
10 mg/m3
<
2%
N/A
None
Established
50 ppm
200 ppm
200 ppm
None
Established
None
Established
None
Established
25 ppm (Mfg)
SECTION 3 EMERGENCY OVERVIEW
Orange liquid with an ether -like odor. Extremely flammable liquid and vapor. Vapors
may cause flash fire. May cause eye and skin irritation. Inhalation of vapors or
mist may cause respiratory irritation and central nervous system effects. Swallowing
may cause irritation, nausea, vomiting, diarrhea and kidney or liver disorders.
Aspiration hazard. May be fatal if swallowed. Symptoms may be delayed.
NFPA Hazard Signal: Health: 2 Stability: 1 Flammability: 3 Special: None
HMIS Hazard Signal: Health: 3 Stability: 1 Flammability: 3 Special: None
OSHA Hazard Classification: Flammable, irritant, organ effects
Canadian WHIMS Classification: Class B, Division 1; Class D, Division 2,
Subdivision B
SECTION 4 EMERGENCY AND FIRST AID PROCEDURES - CALL 1-303-623-5716 COLLECT
Skin: Remove contaminated clothing immediately. Wash all exposed areas with
soap and water. Get medical attention if irritation develops. Remove
dried cement with Oatey Plumbers Hand Cleaner or baby oil.
Eyes: If material gets into eyes or if fumes cause irritation, immediately
flush eyes with water for 15 minutes. If irritation persists, seek
medical attention.
Inhalation: If symptoms of exposure develop, remove to fresh air. If breathing
becomes difficult, administer oxygen. Administer artificial
respiration if breathing has stopped. Seek immediate medical attention.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth with water. Never give anything
by mouth to a person who is unconscious or drowsy. Get immediate
medical attention by calling a Poison Control Center, or hospital
emergency room. If medical advice cannot be obtained, then take the
person and product to the nearest medical emergency treatment center
or hospital.
Latest Revision Date: 7/22/02 Page 1 of 5
MEDIUM ORANGE LO-VOC CPVC CEMENT
SECTION 5 FIRE FIGHTING MEASURES
Flashpoint / Method: 0 - 5 Degrees F. / PMCC
Flammability: LEL = 1.8 % Volume, UEL = 11.8 % Volume
Extinguishing Use dry chemical, CO2, or foam to extinguish fire. Cool fire
Media: exposed container with water. Water may be ineffective as an
extinguishing agent.
Special Fire Firefighters should wear positive pressure self-contained
Fighting breathing apparatus and full protective clothing for fires in
Procedure: areas where chemicals are used or stored
Unusual Fire and Extremely flammable liquid. Keep away from heat and all
Explosion sources of ignition including sparks, flames, lighted
Hazards: cigarettes and pilot lights. Containers may rupture or
explode in the heat of a fire. Vapors are heavier than air
and may travel to a remote ignition source and flash back.
This product contains tetrahydrofuran that may form explosive
organic peroxide when exposed to air or light or with age.
Hazardous Combustion will produce toxic and irritating vapors including
Decomposition carbon monoxide, carbon dioxide and hydrogen chloride.
Products:
SECTION 6 ACCIDENTAL RELEASE MEASURES
Spill or Remove all sources of ignition and ventilate area. Stop leak if it
Leak can be done without risk. Personnel cleaning up the spill should
Procedures: wear appropriate personal protective equipment, including respirators
if vapor concentrations are high. Soak up spill with an inert
absorbent such as sand, earth or other non-combusting material. Put
absorbent material in covered, labeled metal containers. Prevent
liquid from entering watercourses, sewers and natural waterways.
Report releases to authorities as required. See Section 12 for
disposal information.
SECTION 7 HANDLING AND STORAGE
Handling: Avoid contact with eyes, skin and clothing. IrAvoid—breathing vapors
or`mists aUse with adequate ventilations (equi alent outdoors).
Wa_sh_thorough`Ty_after—handling�.�Do not—e'at, drink or smoke in the
�
work area. Keep product away from heat, sparks, flames and all other
sources of ignition. No smoking in storage or use areas. Keep
containers closed when not in use.
Storage: Store in a cool, dry, well-ventilated area away from incompatible
materials. Keep containers closed when not in use.
Other: "Empty" containers retain product residue and can be hazardous.
Follow all MSDS precautions in handling empty containers. Do not cut
or weld on or near empty or full containers.
SECTION 8 ECOLOGICAL INFORMATION
This product is not expected to be toxic to aquatic organisms.
Cyclohexanone: 96 hour LC50 values for fish is over 100 mg/1.
Tetrahydrofuran: 96 hour LC50 fathead minnow: 2160 mg/L.
Methyl Ethyl Ketone: 96 hour LC50 for fish is greater than 100 mg/L.
VOC This product emits VOC's (volatile organic compounds) in its use.
Information: Make sure that use of this product complies with local VOC emission
regulations, where they exist.
VOC Level: 490 g/1 per SCAQMD Test Method 316A.
Latest Revision Date: 7/22/02 Page 2 of 5
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081/17,12006 15:15 FAX 8107441653 GENOVA PRODLrt;I'S
¢' -0-2846M 2MGM — 992'
X2. DESIGN, ASSEMBLY, AND INSTALLAA ` ION .CONSEDE1tATIONS
X2.1 Design
X2.1.t Thermal Ezpansivn—The linear thermal expansion
rate for CPVC is approximately V2 in. for each 10°F tempera-
ture change for each 100 ft [8 mm for each 10°C temperature
change for each 10 m] of pipe or tubing; When ii►stalling-lorg
runs of pipe allow 'he to I& in- 164tudinal clearsnos Pei- foot
(5 to 7 mm per metre] of run to accommodate thermal
expansion: •Proper'design'includes offsets of 12 iw.[300 mm] or
more every 10'ft [3 m] on vertical risers if they`are,ftstrained
by'horizontal bmtiches at each flooi level. Pipe should not be
anchored rigidly to a support but rathbr be seedred with ,broad,
smooth hangers'pioviding for a degree of m6vblifint "
X2:1'.2 Support "Spacingi.—The' maxitaum' recommended
spacitig between suppbfts is 3 f [l m] fai sites 1 in: �or imaller
and 4 R 11.2 m] for larger sizes. '
X2.1.3 *atirHeaters` =C�omponeuts'covered by this spem-
fication are not intended for use at terfi,peratures'above-l80°F
(82.20C]. Hence, they. 'may not be suitable for, use with clic
instantaneous type (coil or immersion) water heater They are'
suitable for use with storage type Water heaters with connec-
tions made in an approved manner.
X2.1.4' `Sweating=Even tkoudh di, Ifiermal conductivity of
CPVC is several oideis of magnitude lower than that of metal,
sweating or condensation at a' slow rate may occur under
certain temperature and humidity conditions.
X2.1.5 .Water Hammer and Surge --A CPVC hot-water
system will' withstand''cepeated pressu re'sdWs well in excess
of its rated pressure, " but water barmikgr ,arrestors may be
advisable when solenoid valves or differ quick closing'devices
are used in the system. In designing for such situations it is
advisable to consult the pipe or fitting manufacturer for
recommended surge pressutn'limits. Water hammer and surge
pressure calculations are reviewed in AWWA Manual M11,
"Steel Pipe Design and Installation", 1964, Chapter .7, Ameri-
can Water Works Association Inc., 2 Park Ave., New York, NY
10016.
IZ 002/003
should have a low solvation power for CPUC; to prevent
mistaken use of the cle$ning solvent for a'cemcnt, Urt;cemented
joints with a good solveni, THF for instance, will pass the usual
cold water pressure check but are likely to fail later in hot water
servit:e.. .
X2.2,& Step -by -Step Assembly—correct assembly con-
sists of the following steps- ((I)-cut°thepipe sgWi (X -4 o
or
�emove°excess cement-frono_We„jgint_.If�a
`X2.2.2. Adhesive- Joints—Assemble according to the •manu-
facturer's instructions payi49 particular•. attention to whether
sanding of the pipe or tubing is recommended to eliminate, the
interferance_fit.
X2,23 Plastic -to -Metal Transitions—Assemble in.. accor-
dance with the manufactum's instructions. Union and com-
pression type transition fittings are likely to include`tbsrules or
0. rings, or both, which -form an ,essential part of • the - fitting
assembly. and should. not be omitted. Plastic socket -to -male
threaded adapters should be installed with a recommended
thread sealant.
X23 Instatllation .
X2.3.1 Storage and Handling--C'PVC pipe, tubing, and
fittings should be *stored under cover to avoid unnecessary dirt
accumulation and long-term exposure. to sunlight. Pipe and
tubing should be stored with continuous support in straight,
uncrossed bundles. Cafe should be used in handling to ensure
that utiriecessary abuse such as 'abrasion ' on concrete or
crus tibg is avoided.
X2:3.2 Installation Temperature—Extra cat's, must be taken
X23 Asscmbly at temperatures of 40°F or lower and 110°F or higher. Always
X2:2:1Solvecit. urea `lyinfs) follow the manufactdrer's installation instructions carefully.
X2- -3 prressure Testtntg PVC piping system
made
X2.2.1.1 Interference Fit-- Co�onents meeting -the dimer -
of ?/i��
d�irou h2 in sizes. in _accordance�with this, specification, anti
sional requirements of this specification are designed to have P
as interference fit Before making a cemented joint, it is �u9z1ng a solvent cement requiring -a -primer -,o cleaner, can_be
advisable to check for an interference dry -St. A goad ' rfer- pressure reared°(using cold tap water only) at ae pressure_(15.0�
encs dry -fit exists when the pipe or tubing makes contact with psi maximum) after the`s_olvenf cement jomts'have cuie'd_os at
the fitting socket wall between one third and two thirds of the le_following emounc oof tirn
way into the socket. Amwsnt Minimum Cure Times, h
7atnperattire
X2.2.1.2 Cutting—Pipe and tubing may be cut to length _ ��1 in. to t in. t,ti In. to a In.
overt30°r U-� 2
with tubing cutters. Tubing cutters with thin cutting wheels [40; to 60T 2 4
designed specially for plastic are recommended. Where tubing
cutters are not available, a saw and mitre box may be used.
Burrs and ridges caused by handling or cutting must be For cements not T.equiring a primer or cleaner, refer to the
removed before assembling a joint, manufacturer's reeomlldended cure times specific to that oe-
X2.2.1.3 Solvent CieaninS When recommended by the Wit•
cement manufacturer, organic liquids can be used as a cleaning X2.3.4 Repairs If a leak is discovered, that portion of the
solvent for CPVC 41 components. These organic liquids system should be drained and the joint and fitting should be cut
291
08/17!2006 15:16 FAX 8107441653 GENOV.
D 2846/D' 2846M — 99&1
out. The pipe should be thoroughly dried and a new fitting
should be installed using couplings and short lengths of pipe -
X2.3.5 Soldering in the Area•—SoIdercd metal joints should
not be made closer- than 18 in. (460 mm) to an installed
plastic -to -metal adapter, in the same waterline.
X3. OPTIONAL PERFORMANCE QUALIFICATION AND IN -PLAINT QUALITY CONTROL PROGRAM
. FOR CPVC EIOT-WATER D.LS.TMU'X'ION SYSTEM COMONENTS
X3.1 Scope
X3.1,1 The following program covers performoace gtialifi-
cation and in -plant gltahty control for component design and
manufacture respectively to provide reasoiiible assurance that
CSW 'hot-water distribution system components supplied
under this 'specificatiori 'shall consistently meet its require-
ments.
X3.2 performance Qualification
X3.2.1 Performance qualification tests shall be run initially
on each component design, 'size, abd formulation according to
the requirements of'this specification. The test results' shall' be
independently certified, and shall be made available to the
purchaser on request
X33 ,1n -Plant Quality Control
X3.3.1- Material --The pipe, tubing, and fidngs shall be
manufactured only from CPUC 4120 materials, as defined- in
Section 5 of this specification. The manufacturer shall so
certify.
X3.3.2 Quality Control Testing --Pipe, tubing, and fitting
quality control tests shall be run for each extrusion line or mold
cavity in accordance with the requirements of this specihcationl
at a frequency agreed upon between. the purchaser and the
manufacturer. The.program outlined in Table X3.1 is recom-
mended, ,The. ;test results shallbe. recorded and • filed for
inspection on request Should a component fail to. meet the
specification in any Rest, production should be Qampled back to
the .previous: acceptable. test result and, tested to determine
which components produced in the interim do not: meet the.
requirement Components that do not meet the requirements of
this specification. shall be rejected- -
X3.3.3 Marking—A code number shall be included on the
pipe, tubing, and fittings •that , cap -be ased to identify the
mam facturer, the compound, and the date of manufacture.
TABLE x3.1 Suggeated,Quallty Cvnfrol'Prog6uh
Component Property Frequency Molhed
Pipe arxl tubing outside diameter hourly
wall ihiduvm houriy
sustained pressure daily 8,2
Fittings eoct et dAmeterhearty 6:1 A.2
extemal threads• hearty 6.2
sustairtW pressure daily 6.2
ASTU Intamsffonal takes no positlon rmpecting.the vafldily of any parent rights asserted in eonnecrlon with arty item mentioned
in this standard Users of thle standard are expressly advised that detsm Dation of the val/dity of any such patent ngryts, and rhe dsk,
of Infringem9nr of such tights, are entirety their own rwpo4s1b11*
This standard is sublaar rd reviaicri at any time by -Me responsible fachnfeal comm/tree and must be revle►ved every M yeats•&.d
If not raybed, eitherreappr+oved or wWrawn. YourcommanLs are inylted either forrsvision of this sranodrd orioraddtionel standards:
andsnould be addmysed to ASTM lnfernafienar Headquarters. Your comments will r".alve carshd oon&idehtrlon at a meaft of the
re ponsible tachrmal eommllree, whfdt you may attend. It you feel Oar your oom:naMs naw not revived a fair hearing you should
-make your view& known to the ASTMCommlttee on Standards, at the address shown below.
Thi; standard is eopyAghted by ASTM Interne6wal, too Barr Harbor Onus, PO Bots C700, West Conshohootoen, PA 19428:959,
United States. Individual reprints (single or multiple copes) of this standard may be abtalned by contacting ASTM at the above
address or at. 610.832.9585 (phone),' 810.832.9565 (fax), or service'@Wtm.org (e maA); or through the ASTM website
(www.astm.orgJ.
292
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BUTTE rOUNTY OCT 19 204
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
BECOME NULL AND VOID 1 YEAR FROM THE DATE OF
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (cotnmencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
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 penalty of not more than five hundred dollars ($500).):
AU I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑
lam Exempt under Article 3 f the Busi ss a Professions Code
Date:01-141-0Jownpu�=&4�
WORKERS' �OVENSATION DECLARATION
I hereby affirm under penaltrof perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #
oR 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'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with
/those provisions.
Date:
Applicant:
WARNING: / Failure to secure workers' compensation coverage Is
unlawfu , nd shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
IF WORK IS DONE IN VIOLATION OF
PERMIT NO.
BPO52042
OR STATE LAWS. .
Issued Date: 09/14/2005 APN: 066-360-007-000
Site Address: 13811 NIMSHEW RD MAG
Map Index:
Description: ADD TO SF BEDROOM & BATH (92)
Owner: BRANSON JAMES D & KAREN D
PO BOX 5
STIRLING CITY, CA
95978
(530) 873-4839
Applicant: BRANSON JAMES D & KAREN D
PO BOX 5
STIRLING CITY, CA
Architect:
Engineer:
Total Square Ft: 92 S. F.
Valuation: $5,980.00
Census Code:
CDF FIRE SAFE REQUIREMENTS
G
AP# 066-360-007 PERMIT # 05-2042 NAME: Branson
Under authority of Public Resources Code Sec. 4290, the following checked items are required
by the Butte County Fire Department and made a part of this permit. These requirements are
minimums and may be superseded by Butte County local regulations, which equal or exceed
these standards. Butte County Building Inspectors will make compliance inspections.
Driveway Standards
[X] Surface. All driveway surfaces and structures (bridges, culverts and other
appurtenant structures which supplement the roadway bed or shoulders) shall
provided unobstructed access to conventional drive vehicles, including sedans
and fire apparatus weighing up to 40,000 pounds.
[X] Grade. Not to exceed 16 percent unless paved.
Drivewav Radius
[X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet
and additional surface width of 4 feet shall be added to curves of 50-100 feet
radius; 2 feet to those from 100-200 feet.
[X] The length of vertical curves in roadways exclusive of gutters, ditches and
drainage structures designed to hold or divert water shall be not less than 100
feet radius.
[X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the
center of the road.
[X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum
25 -foot taper on each end.
[X] Width. All driveways shall provide a minimum 10 -foot traffic lane and
unobstructed vertical clearance of 15 feet along its entire length.
[X] 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.
Gates
[X] 1. Gate entrances shall be at least two feet wider than the roadway
they serve.
2. The gates must be located at least 30 feet from the roadway and
shall open to allow a vehicle to stop without obstructing traffic on
the roadway.
3. Where a one-way road with a single traffic lane provides
entrance, a 50 -foot turning radius shall be used.
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Setback for Structure Defensible. Space
[X] Maintenance of Defensible Space. To ensure continued maintenance of
properties in conformance with these standards and measures and to assure
continued availability, access and utilization of the defensible space provided for
in these standards, annual maintenance must be provided for by the landowner.
[ ] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot
setback for buildings and accessory buildings from all property
lines and/or the center of the road.
[X] 2. For parcels less than 1 acre, local jurisdiction shall provide for
the same practical effect. See "Other Requirements below.
[X] 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.
Disposal shall be completed prior to completion of road construction or final building
permit inspection.
Other Requirements
[X] If Building Setback is 15 to 30 Feet:
✓ Class A roof
✓ Fully enclosed eaves
[ ] If Building Setback is Less Than 15 Feet:
✓ Class A roof with fully enclosed eaves and choose any 2 of the following:
❑ Metal or no doors on side toward property line with insufficient setback
❑ Interior automatic sprinkler system per NFPA 13D
❑ Glass area not to exceed 10% of wall area toward property line with insufficient
setback
❑ Siding from the following list:
o Stucco — 3 coat
o Hardi-Board or Plank
o Masonry
o Masonry Veneer
o Metal
o Other Butte County Fire Department approved materials
10/19/2005
Date
Darren Read
Signature
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LN-
CDF FIRE SAFE REQUIREMENTS
AP# 066-360-007 PERMIT # 05-2042 NAME: Branson
Under authority of Public Resources Code Sec. 4290, the following checked items are required
by the Butte County Fire Department and made a part of this permit. These requirements are
minimums and may be superseded by Butte County local regulations, which equal or exceed
these standards. Butte County Building Inspectors will make compliance inspections.
Driveway Standards
[X] Surface. All driveway surfaces and structures (bridges, culverts and other
appurtenant structures which supplement the roadway bed or shoulders) shall
provided unobstructed access to conventional drive vehicles, including sedans
and fire apparatus weighing up to 40,000 pounds.
[X] Grade. Not to exceed 16 percent unless paved.
Driveway Radius
[X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet
and additional surface width of 4 feet shall be added to curves of 50-100 feet
radius; 2 feet to those from 100-200 feet.
[X] The length of vertical curves in roadways exclusive of gutters, ditches and
drainage structures designed to hold or divert water shall be not less than 100
feet radius.
[X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the
center of the road.
[X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum
25 -foot taper on each end.
[X] Width. All driveways shall provide a minimum 10 -foot traffic lane and
unobstructed vertical clearance of 15 feet along its entire length.
[X] 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.
Gates
[X] 1. Gate entrances shall be at least two feet wider than the roadway
they serve.
2. The gates must be located at least 30 feet from the roadway and
shall open to allow a vehicle to stop without obstructing traffic on
the roadway.
3. Where a one-way road with a single traffic lane provides
entrance, a 50 -foot turning radius shall be used.
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Setback for Structure Defensible Space
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[X] Maintenance of Defensible Space. To ensure continued maintenance of
D
properties in conformance with these standards and measures and to assure
continued availability, access and utilization of the defensible space provided for
r
in these standards, annual maintenance must be provided for by the landowner.
t'+
[ ] 1 . All parcels 1 acre and larger shall provide a minimum 30 -foot
setback for buildings and accessory buildings from all property
lines and/or the center of the road.
r
r
[X] 2. For parcels less than 1 acre, local jurisdiction shall provide for
the same practical effect. See "Other Requirements below.
T
1
[X] 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.
Disposal shall be completed prior to completion of road construction or final building
permit inspection.
E
Other Requirements
[X] If Building Setback is 15 to 30 Feet:
✓ Class A roof
R
✓ Fully enclosed eaves
E
[ ] If Building Setback is Less Than 15 Feet:
✓ Class A roof with fully enclosed eaves and choose any 2 of the following:
Q
❑ Metal or no doors on side toward property line with insufficient setback
j T
❑ Interior automatic sprinkler system per NFPA 13D
�J
❑ Glass area not to exceed 10% of wall area toward property line with insufficient
setback
T
❑ Siding from the following list:
1
o Stucco — 3 coat
o Hardi-Board or Plank
o Masonry
o Masonry Veneer
o Metal
o Other Butte County Fire Department approved materials
M
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10/19/2005 Darren Read
T
Date Signature
1
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BPO52042
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. .
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/14/2005 APN: 066-360-007-000
the Business and Professions Code, and my license is in full force and
effect.
,License Class License Number:
Site Address: 13811 NIMSHEW RD MAG
Date: Contractor:
Map Index:
92tion: ADD TO SF BEDROOM & BATH
Description: ( )
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
. Owner: BRANSON JAMES D &KAREN D
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
PO BOX 5
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
STIRLING CITY, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95978
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
(530) 873-4839
AI, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License -Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: BRANSON JAMES D &KAREN D
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
PO BOX 5
year of completion, the owner -builder will have the burden of
STIRLING CITY, CA
proving that he or she did not build or improve for the purpose of
95978
sale.).
❑ 1, as owner of the property, am exclusively contracting with
(530) 873-4839
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article f the Busigess Professions Code
Date: `"
WORKERS' O ENSATION DECLARATION
1 hereby affirm under pens 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
License #:
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and
Engineer:
policy number are:
Carrier:
Policy #:
I that in the
Total Square Ft: 92 S. F.
certify performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
Valuation: $5,980.00
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with provisions.
/those
Date:
Applicant:
�to
WARNI G: Failure secure workers' compensation coverage is
unlawfu nd shall subject an employer to criminal penalties and one
/ I 73,; C -
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
4-)24 -)2� t' 1) 6:
CONSTRUCTION LENDING AGENCY
This permit ifs heby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolion d work indicated above for which fees have been paid.
G�
Name:
By: / cJD�ate:
L - G `u
Address:
PERMIT EXPIR ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑: Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o any official form or document of Butte County. I hereby
authorize representatives to enter upon the above mentioned property for inspection purpose
oofff Butte County
' y
Print Name: y/��> �_��SO C.
Signature
Date:
'Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor
- TTE OUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICAT.I�ON
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION -
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER
Last Nam ^
First Name_
e•
Addressl
/��5—
CitysrtIZ4 y�G /k
State �
Zip 95-,74
Phon76:3o
Fax
E-mail
14 /AJ9 I rT AAC 7-'
ARCHITECT/ENGINEER
Name
Al
Address %0 SK S
City AWA 0 /S 6 State
Phone/' 872 _ �5 !f o Fax
State License
Zip
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
Lic. #
Class
ARCHITECT/ENGINEER
Name
Al
Address %0 SK S
City AWA 0 /S 6 State
Phone/' 872 _ �5 !f o Fax
State License
Zip
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
Fo office use only:
AP#
oning
JAR zY2-1
Flood Zone
I X I
SRA
IYes
No
Occ.
Type Const.
Subdivision Name
h �' 5 o.'*$ � 4 NG AGENCY
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
I
BIN # A -co I
LOCATION
AP#
Property Address
� 39//
Cit
Cross Stree�j
1>
/'D�U,Eo
WORKER'S COMPENSATION
Policy Number
Carrier
tf hiring anyor (fid ` n license contractors, a certificate of worker's
�Cd
compensa" o vn at the time of permit issuance.
h �' 5 o.'*$ � 4 NG AGENCY
Description or Scope of Work:
ri o'u /t'l�5 T; -/Z .9&
'C°' oa3i9
�Sq. Footage
OVER FOR SUBMITTAL REQUIREMENTS II
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
'/> n 2:7
,C7/
L Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan chetkedAr�d-other department costs are not
I - 4 0 016 % by �Mls
Received by: 6 Amount: 1 '_� 0 ��G Bldg
2� Li o q 77 SRA
Receipt #:� SIA q03 Sheriff
SMIP
Other
Date:
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site 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 (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
,REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and -other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
Butte County Department ofDevelopment Services
iNONNE CHRISTOPHER, DIRECTOR
N
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
O
N
TO:
'
FROM:
LO
1
SUBJECT:
O
DATE:
WILLDAN
�uTrF
°�� °
UN
Scott Rutherford (530) 538-7160
srutherfordCa.buttecounty.net
Plans Transmittal For Review Per Contract
8/3/2005
Applicant: Branson, James Permit No: 05-2042
Project Type: Addn Bdrm/bath 066-360-007
100% 70%
Plan Check Fees $ 170.47
$ 119.33
$ 170.47 $ 119.33
WILLDAN Fee $ 119.33
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
C17
T
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DtVISfON
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: BpanSOC1 ASSESSOR PARCEL NUMB
ER 066 _360-00
Proposed Building Use: Add ) JF Permit Technician: (� . G • Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
/ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
�I i j 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.
,Z2N 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
%SN 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑. 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
N�Sl 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Rea Ining items needed to issue the permit. (May require additional plan rc-view upon receipt of the following items.)
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applic
' 16. Fire Sprinklers............................................................................................
.bl 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑/ Erosion Control Plan Required........................................................................ ;
�j 20. lees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs .............................. 1
California Department of Forestry plan approvabEl paid. Sent by: ...........
24.)tanning approval for (A) Usei'(B)Parking: (C) Parcel Check:.... r�... d.
❑ Contact Land Development about _ Improvements, _ Drainage ........................
N;`T"N 26. NPDES Form..............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
I�IXJ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone c 530 g� 3 - y q and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applica%tr--- Date:
1. Index) permit a plication for the items numbered: Plan Check Let r
2. Addiq'onal it sSor,
Contractbr, de ign 'was of the above data by phone, ❑ mail, ❑ counter, by Date:
Contractor, designwas 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 A ate:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewe Date: Structural approved b Date:
Note transfer by: Date: 61 1
Yellow: Building Division
E.H. USE ONLY
Piot Plan Anechad
Floor Plan Attachad
Sant to ®.O. ,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
xJ/2,9 -x-1, so n> /-9,6/ / /,11, m She - Olaf �lod 0 4 �7
Owner Location AP#
Plan Approved for: Sewage Disposal ^� Water Supply: Public Private Well V/
Clearance for %-/dwelling. Other 7'E,e- T3.Ee,&?q7-- A -4,4/7 -/DA
,el ✓ GIfs` /0 1? -,T 4-dGA'- 7/ U /-,J
Hold final for:
Final clearance O.K. for:
NOTE: (_l
Environmental Healthp cialist Date
8/96
�F �• � 1 (_ C,s. �'\ t"- •f �A rt:"l�.l �. �+Y� j '4'Z't..y
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tis � e
�.:y��'lt'i`_'�+5�����
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER U� QnSo�
PROPROSED BUILDING USE Add f b SP
1. BUILDING PERMIT FEES
-- Balance Due ..................... $ rJ
--- FEMA Flood elevation review ... $
--- Additional plan checking Fee.... $
2. SCHOOL DISTRICT FEES Parodist
(paid at School District Office) (form available after Plan Check)
SHERIFF FEES (paid at Building Division)
Commercial (sq. ftg.)..... X $0.03 = $
Nq.r[g. n J
4. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
5. RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling) $
CHICO URBAN AREA (per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning
�6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
8. SMIP!J A con
DRAINAGE FEE
10. OTHER
11. OTHER
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed dyr tg the plmr-�hecki%process.
DATE Y_e?e _05—
Pursuant Govemm t Code Section -Z60-20, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 ays from 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 a specifte in Government Code Section 66020(a).
Origin-Buildin ivision Yellow -Applicant Pink -Owner (rev. 7/05)
Butte County Department of-Developnent Servrces °vsrF°
°
7 County Center Drive
_... "• �G. �.
Oroville, CA 95965 ° "a o
(530) 538-7601 Telephone c y
(530) 538.7785 Facsimile UUN,
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building pen -nit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
a I need to submit applications for• septic and/or well to Butte County Environmental Health
immediately.
e I am required to bring the approved Environmental Health site plcui and approved sanitation
clearance to the Building Division as soon as clearance is obtained
® I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other, required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: �5 �)s���U��Ll APN: O�e6 -360-0c_)'_,'
Building site address: `JPO ��/�5��� �� / t'9 Permit No.: Sp 0 b2,012-
[ have read, understood and accept the terms and conditions as expressed herein as indicated by my
submissi of the above -referenced building permit application and my signature below:
SI NATURE OF Af RUCANT DATE
kni'Y�y ��-;..ti.' :;. _ iY':^•1_@'•.� 4�:i. .•gi�.l.0 ': i.!t r.VJ.'` � .)1._ _
.p ; ,2II�DNT
II�'�CIO
�?>�;��s�a�t�rti;,.�.�-�,.��:�.w^.t_,a... r�,�r..t�e.._:�'�+�cn.�:R�-�c.r._.r_r,,_�:,,•vs-,�,a;'•r.-a°:,:�:�k:r?
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this infonnation 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. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES ] NO[ ].
2. I HAVE [ X ] 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: _
ADDRESS:
PHONE:
CONTRACTOR'S 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:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE: S— �, -0>5—
NOTE:
vS
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/412004
Butte County- Department of Development Services
ADMINISTRATION' BUILDING' GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538.2140 Facsimile
Dear Property Owner:
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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o 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'
compensationinsurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o 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 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 contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
UK
Mic el C. Vieiri C.B.O.
Majager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
�~ par l- e of Public Works
z. e
>�,% o C o u m y o
11-5-�oil
LAND DEVELOPMENT DIVISION
0 J. Michael Crump,. DirectorStormWater Management Program
','. �� ® 7 County Center Drive
Ocoville. CA 95965
(530) 538-7266
�LIC ,NpP� (FAX) 538-7171
National Pollutan1.t Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE
Project Description:
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that L 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 build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a. Construction Storm Water. Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply fora Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project.'
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
�17Serving WI LLDA�N Public
August 25, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
BUTTE COUNTY PLAN REVIEW REPORT
Status: IApproved
Jurisdiction Job No:. 05-2042
Assessor's Parcel No: 066-360-007
Description: Branson Addn Bdrm/bath
Willdan Project No: 14353-1822
Dear Mr. Rutherford:
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.willdan.com
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
* Plans:*Two (2) copies, sheets Al through A4 dated 06/12/05, by David G. Anderson
* Truss Calculations: Two (2) copies dated 07/22/05, by Longfellow Lumber Co.
* Energy Calculations: Two (2) copies dated 07/18/05, by Serena E. Brown.
The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters
relating to this project, the superseded plans and documents will be discarded within 10 days unless we
receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
i' -
W I LLDAN
Serving Public Agencies
APPLICABLE CODES
Our review was based on requirements of the 2001 California Building Standards Code found in the
California Code of Regulations, Title 24:
• Part 2, known as the California Building Code (CBC).
• Part 6, known as the California Energy Code, and Energy Commission Standards (CECS).
CODE ANALYSIS
Specific Use Type of
Type of
Sprinklers Stories 1" Floor
Total Sq Ft
Occu anc
Construction
S Ft
Dwelling R-3
1 92 NA
V -N
92
Addition
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
a�
Isaac Kuster
Plans Examiner
Thank you
Cc: Alice Mefford, amefford@buttecounty.net
James Branson, P.O. Box 5, Stirling City, CA 95978
Page 2 of 2 County of Butte 05-2042
Willdan 14353-1822
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)
0 DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s)
Property Owner (s)
Project Location /Address
Subdivision Name
New Development
Alteratio Addition(
Mobile home
7)LQ(.0 - . o(31
I�)Q�I\ N
Building Permit Number G 5 - jo off
Assessable Sq. Ftge —�
Non)
Type of Residential Development (check one) �ry�
Single Family -Detached Single Family -Attached
Ism
Non -Residential to Residential Multi -Family Dwelling
Mobile home replacement verified by Assessor Department
Demo Permit (date U issued )
i
Comments: Q d6 M q Jam/
Building
9 b�
Date
verified by Building Department
❑ FRRPD ❑ CARD ❑/*D ❑ DRPD certifies that:
O�imo5 �rahs� X73-�8�9
Applicant Name Phone Number
�ha %�Po PDC Cl
Mailing Address
State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $ per unit for a total of $
Square Feet @ $ per sq foot for a total of $ 4/0 r 44�
Remarks:
Paid y C eck No: ' Paid by Cash:
and Park District
-e' --_ ...--A..-A r-- rov 1 rinr.
Receipt No:
ate
v .�rr�m eo�nr nr
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District
A.P. Number O (Dl o'Neo• 6 6n Jurisdiction: City
Property Owner
Property Location/Address 15%1
Subdivision
1
t
Building Department No.
��
l f County
. C
I
Lot No.
C)95. a6q�-
Residential Development Q Q Q Sq. Footage
No of Living Mobile Home Additio 'Supplemental to (Group. R)
Units Installation Conversion Permit #
•(No foundation inspection)
........................................................................................
Commercial/Industrial
Building Department
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
0 0
New Addition
7T
Dist 'ct Identification No. d6-V7�7_
�iT
A'0School District certifies that
(Street
(State)
Sq. Footage
(Including Exterior
9 oofed Areas)
Date
(Applicant)
7 Cl J
(Phone Number)
(Zip Code) .
/ .P�has complied with the requirements of Resolution No. by payment of $
representing 2__ square feet. B 2926 $
JLL MITIGATION $
School District Representative
Paid by Check # —_—= Remarks:
Q �r
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 Quafity Act (CEQA).
this project maybe subject to additional school fees to fully mitigate Its Impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xis (305W=
SITE PLAN REVIEW APPLICATION
Date: it r16 q AP# Q 6 ( _ J ?P0 -007
Permit Number (if applicable) d T 9 5 v70 %,�_
APPLICANT INFORMATION Parcel Size: S
Owners Name: `� lua'-' z 6_�a&
Owners Address: 0. 6ox
Telephone No.:,
Situs Address:
Proposed Use:
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
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Septic ❑ Well
❑ Agricultural Exempt Building
❑ Other:
., . n
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
l—� C tol t 13a oY
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved* R %/I p s
( r
By Date 1 t . 0 4xt�—
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: 0' "1 D 112 6 Pf:
❑ 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 attached)
• Flood Zone: X
• Flood Panel No.: Ape) C 037, Index Date: q
❑ 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 andrequirements)
E]Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit
El Minor Variance El Administrative Permit
❑ Variance
--------------------------------
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
aAtGOL
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
10 ,
3U
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
i, 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
it Deeds:
Date of Creation: Legal Access Provided: ❑ No Yes
Deed of Reference: 9 q8r Legal Access Required ❑ No ® Yes
Parcel Frontage on Publicly Mhffitained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:[] No ❑ Yes
Comments:
l _ Parcel Deemed to be legal
❑ Verify Legal Parcel '❑ Verify Legal Access uprovide Deed of Creation
❑ Obtain a Certificate of Compliance
R. 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
r ,
❑ Subdivision Map/Parcel Map:
Map Date of Recording: i
Lot:. Book: Page:
❑ Use Permit/Minor Use Permit
Permit Number: Date. of Approval: `
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 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. 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.
In lieu of a pressurized waters stem or water story eTank°N a ent into the appropriate
❑� P Y g �� ,� P Ym
Battalion Water Tender Fund may be required."_ t'
❑ 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
7
F
Page 4 of 5
0
n
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.
C:1Larrys�3uilding Permit Site Plan Reviewl.doc
Page 5 of 5
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
November 18, 2004
Schwartz/Biegler
P.O. Box 2041
Paradise, CA 95927
RE: Building Permit 04-2953, and 04-2954
APN: 066-360-006, 066-360-007
The Butte County Department of Development Services, Planning Department has reviewed the
submitted permit for a new single family on Nimshew Road, and we require the following
information to continue the review process..
Planning Department Approval Requirements
1. Creation Deed for APN: 062-720-003
A Creation Deed is needed to describe how and when the parcel came into existence, and
we are looking for a deed prior to March 3, 1973. You may have a copy of this Deed
from the purchase of the property, if not; one can be obtained from the Butte County
Recorders office (or through one of the local Title Companies for a fee).
Should you have any questions please feel free to me, between the hours of 8:00 a.m. and 4:00
p.m. Monday through Friday at (530) 538-7601.
Sincerely,
Lad&t-
ana Adler
Assistant Planner
Cc: Oroville Environmental Health
l� �m
WHEN RECORDED,
MUSE MAIL THIS INSTRUMENT To
'".id 7011_; Title
Sex.
Order No
Eum. NoL-
Lan No
177E COUNTT CRAUF /
P.ECCnO REOUESTED By
�InL1FY DILE MD ESCRO 5lPAH)
Ars S II ss aH6�°
CA.NELSON
COUNTY
Y RECORDER��
4586,6; EE
'tr " V "N1 um a" ncoeo<n Un
`�ahr C� . oe,
OUITCLAIM DEED £r
IN CONSIDERATION of Oar Dollar nodpe Of which Is hereby acknowledged,
ani
MACK W. SILL/ DOROTHY T. HILL, his wife
does hweby REMISE, RELEASE ANDGUITCUIM b
_MARCUS DALY III
dl Mier F04 Prop" In The
$#at@ of CelHomle, desuib"d III:, Couny of Butte
Being a portion of the South half of Section 27, Township 23 North,
Range 3 East, M•D.B & M., and more particularly described as follows:
Commencing -at the 'South quarter corner of said Section 27;
thence along the South line of said Section, South 89°221 East,
268.29 feet to the centerline of Nimshew Ridge Road; thence alcn-
sold centerline, North 2°33130" West, 741.00 feet; thence !TortF9°221
West, 367.38 feet; thence South 16°241 West, 202.39 feet to the trje
point of beginning'for the parcel herein described; thence from
said true point of beginning, continuing South 16°241 West 16$.56
feet; thence North 88531 West, 386.62 feet; thence North 159.73
teat; thence South 88°531 East, 433.38 feet to the point of beginning
and containing, 1.50 acres., more or less. '
Together with anon-e:clusLve easement to be used In common with
others, for road purposes and public utility purposes over a strip
of lend described as commencing at the South quarter ccrner of said
Section 27; thence along the South line of said Section, South b9°221
East, 268.29 Peet to the centerline of the Nim "hew Rid e
along said centerline. North 2°33130" West 8 Road; thence
the
true point of beginning of said Easement; thence0fromesaidotrue
99°2ointof beginning NortY_ 2°33130" West, 25-00 feet; thence North
21West, 367.36 feet; thence South' 16°2 1 West
thence South 89°534' East, 36.00 feet to the4center11ne5ol8theepac:fic
Gas and Electric Cox 9any Upper Centerville Ditch; thence along said
centerline; North 1$ 48140" Eest, 537.66 feet; thence South 89°221
East, X5.65 feet to the point of beginning,.
D.ad:—Me rch 111968 -.
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NOTES
RESIDENTIAL3
PERMIT N0. _066-360-007 -- `�
0 -2042
BRANSON, JAMES
13811 NIMSHEW RD, MAGALIA
I Cont: OWNER
{ ADD-MSTR BDRM & BTH
OFFICE COPY
Address
GAS Date I
Meter By g�2
ELECTRIC Date��`
Meter By I
v
51 VIA
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
,4144&V#4 ZpaA
�G
JOB FINALED (Date) //• o�
` - Signature
t
= OK
= Not OK
= Not Appricable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground .
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. 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
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Ktchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels -Motors -Meth. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic 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
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Botts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Cana B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Dud in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FFI.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following InAdJNve 0 Yes O No/Walks O Yes O No /Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 8-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
= Not Applicable
. =Not Ready
Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Cana B-1 Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
1. Zoning Requirements -Setbacks -Easements
4. Water, Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat or/ /" L "ft! P LPG
3. Blocking
7. Well Clearance & Disconnect
8. Utility Clearance
10. Roof; Shthg-Roofing
5. Electricity; MH Test
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
9. Exits
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
11. Verify #'s with Office
6. Water, MH Test-Regulator-Connectot
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
Cana B-1 Date
9. Tie Downs -Type -Installation Cert.
Date
10. Exits; Insp.-Sketch
Card B-1
11. Cert of Occupancy
Date
Cana B-1 Date
Card B-1
Date
Cana B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
1. Zoning Requirements -Setbacks -Easements
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
2. Footings; Size -Spacing -Marriage Line
7. Electric
3. Blocking
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
4. Gas; MH Test -Demand -Valve
10. Roof; Shthg-Roofing
5. Electricity; MH Test
11. Ext.; Steps -Doors -Landings
6. Water, MH Test
7. Water and Sewer Connected
Card B-1 Date Card B-1
Date
8. Gas and Electricity Tagged
Date
POOLS (Plans) OK except #'s
9. Exits
1. Setbacks -Easements
10. License Decals
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
11. Verify #'s with Office
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
Date
Cana 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
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-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-Panelboards-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
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO52042
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commenting with Section 7000) of Division 3 of
Issued Date: 09/14/2005 APN: 066-360-007-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 13811 NIMSHEW RD MAG
Date: Contractor:
Map Index:
Description: ADD TO SF BEDROOM & BATH (92)
p
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: BRANSON JAMES D &KAREN D
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
PO BOX 5
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
STIRLING CITY, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95978
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
(530) 873-4839
�) I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: BRANSON JAMES D &KAREN D
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
PO BOX 5
year of completion, the owner -builder will have the burden of
STIRLING CITY, CA
proving that he or. she did not build or improve for the purpose of
95978
sale.).
❑ I, as owner of the property, am exclusively contracting with
(530) 873-4839
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ I am Exempt under Article 3 f the Busi ss a Professions Code
Dale: —� '0;Owne
.
WORKERS' OENSATION DECLARATION
I hereby affirm under pena 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
License #:
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and
Engineer:
policy number are:
Carrier:
Policy M
I that in the
Total Square Ft: 92 S.F.
certify performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
Valuation: $5,980.00
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with provisions.
/those
Date:
Applicant:"`—
WARNIG: Failure to secure workers' compensation coverage Is
unlawfu nd shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
11 tit �} -�;—ir
424
CONSTRUCTION LENDING AGENCY
This permit is he by issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolut—ioris4w d work indicated above for which fees have been paid.
�
Name:
By: Date:
Address:
PERMIT EXPIR ON:
Dale
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ : Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
',E-fcS cE F{/4/V_SO /V
Print Name: C2
Signature,--)
/j�
% �/-- O S
Date:
'Owner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor
0 t
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP042954
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
_+ '
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 05/23/2005 APN: 066-360-007-000
the Business and Professions Code, and my license is in full force and
effect.
License Mass : License Number:
Site Address: 13811 NIMSHEW RD MAG
Date: • Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Description: NSF (1530) ATT GAR (480) COV (20)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JAMES D. & KAREN D. BRANSON
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7771 MICA ST
7000) of Division 3 of the Business and Professions Code) or that he or
STIRLING CITY CA
she is exempt therefrom and the basis for the alleged exemption. Any
95978
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
(530) 872-4462 FAX (5301872-4462.
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and -the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: SCHWARTZ, CAREY
such work himself or herself or through his or her own employees,
FOR: JAMES BRANSON
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
P O BOX 2041
year of completion, the owner -builder will have the burden of
PARADISE, CA 95967
proving that he or she did not build or Improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
t� licensed contractors. to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.)..
❑ I am Exempt under Article 3 of usiness and Professions Code
Dale: —�ner:
WORKERS' CO PE SATION DECLARATION
I hereby affirm under penalty erjury one of the following declarations:
License M
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Architect: ANDERSON, DAVID
required by Section 3700 the Labor Code, for the performance of
Engineer:
g
the work for which this permit is issued.. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 2030 S.F.
Policy M
I certify that in the performance of the work for which this permit is
Valuation: $111,290.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the 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.
Date:
Applicant:
WARNING: ail a to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
C /
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for in Section 3708 of the Labor
code, interest, and attorney's fees.
ts
CONSTRUCTION LENDING AGENCY
This permit is hereby Issued underapplicable provisions of the Butte County Code and/or
I hereby affirm that there':is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resrplulion� do work indicated ov for which fees have been paid. c�
1 57.
By: ` Date: ,
Name:
PERMIT EXPIRES ON:
Address:
Date
❑' 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
M', Notification In accordance with Section 18827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
,all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby
*2uthorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes
��5
-�it�1
Print Name: � Signature:
—C 5
Date:
,Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
a
�I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATI'ON
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Name Le,L
ust Name
Address .� bo 2,0
CityP6(2-,,t,0 sG
State c—A-
I "Pt -%7
Phone 36 ' Z „ y
Fax o 7 Z -4 qf. Z,
E-mail
ARCHITECT/ENGINEER
CONTRACTOR
Name.
J / L pv
Address
Address
City
�Ehone
City � �
State Zip
Fax
E-mail
Phone 2�iS00
Uc. #
Class
ARCHITECT/ENGINEER
Name
Name
pm,'
Address
Address
I Yes
City � �
tate
G%1 S �
Phone 2�iS00
Fax o �L-9q 63
E-mail
IX442c4i, rii c 604a
State license Number
LZg0rob
APPLICANT SIGNATURE
X
Q- �6
For office use only:
APPLI CANT NAME
Name
�1Scy�,
Address
Q 2 S
I Yes
w
City
G%1 S �
State
Zp 1 %7
Phone (r;9977--
S -'o a
Fax A;30),02 L -S563
E-mail
i 'rZ ka �-
APPLICANT SIGNATURE
X
Q- �6
For office use only:
Zoning
Property Address n
I /1-)(M S�9-
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const.
Subc ision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP c>-+ 2q
LOCATION
AP# 3 6 0 -oo-7
Property Address n
I /1-)(M S�9-
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a cer6iicate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount 1285 a I Bldg
204.48 SRA
Receipt P 4-12. 03e Sheriff
SMIP
Other
Date: 10.8 •a4 9 ¢ �+ O•
'1 Total
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND !N INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fid plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
119. Site 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 (if required).
:1 12. Hazardous Material Form (for Commercial Buildings only).
1 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
1 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
7 2. Impact Fees.
3 3. California Department of Forestry plan approval (if required).
:1 4. NPDES Form.
:1 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
1 -6., Contractor's license information. (Number, Name Style, Classification).
7 7. Worker's Compensation Carrier and Policy Number.
7 8. Owner -Builder Verification (if required).
9. Letter of Signature authorization (if required).
10. Recorded copy of Agricultural Acknowledgment Statement.
11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
F you have questions or would like additional information regarding this process, contact a Permit
1pplication Assistant at (530)538-7541.
EXPIRATION OF APPLICATION.
.pplications for which a permit has not been issued will expire one year after date of application. In order to renew action
n an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
efunds can oniy be made upon written request by the person who paid the fee. The request must be made within two
gars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
sued; however, e on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
)eck fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
FORMSWILDING F0RMM1dgAPD1SubRamts.doc Pmno 9 .,f 7
Copies Attached: • Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
Butte County Department of Development Services $%JTr
YVONNE CHRISTOPHER, DIRECTOR oo /��'//oo
o o
7 County Center Drive o _ ` o
Oroville, CA 95965
cOU
NU") '�y
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
N
TO: WILLDAN
'
N
FROM: Scott Rutherford (530) 538-7160
srutherford 5C buttecounty.net
I
SUBJECT: Plans Transmittal For Review Per Contract
O
DATE: 10/11/2004" 1
Applicant: Schwartz-Bie ler Permit 04-2954
Project Type: NSF/Att Gar/Cov APN: 066-360-007
100% 70%
Plan Check Fees $ 1,028.65 $ 720.06
$ 1,028.65 $ 720.06
WILLDAN Fee $ 720.06
Copies Attached: • Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �-A 192 er t-'( L D ASSESSOR PARCEL NUMBER 7
/ CO ✓ (1e5)
Proposed Building Use: F -15F- (� 530) A -TF 6,n2 (4W Counter Technician:' Date: 'If:' ' 'ham
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to hpply.
41 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the en iq neer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ '12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 2 rosion Control Plan Required........................................................................ ........
v' ees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
�i 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. � U
e 24. Planning approval (A) Use: j�(B)Parking: (C) Parcel Check: i
0 e`•(
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ Worker's Compensation Carrier and Policy Number ..........................................
Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
011 32. Letter of Signature authorization......................................:.............................
33. Recorded copy of Agricultural Acknowledgment Statement..
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
38. Other: PPCF of e5wti' C -*g- �s ff r f-
0
❑ 39. Other:
When issued Telephone A72 • 758ea and hold for pickup.
I have been informed of t e above items and requirements for obtaining a building permit.
U C -
Applicant: a► e- C l 3, Date:
1. Index permit app ication for he above items num ered: Plan Check Letter
2. Additional items re
Contractor, design r: ow was advised of the above data by 2phone, ❑ mail, ❑ counter, b Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed b : Date: Structural approved by.'J-' Date:
Note transfer by: Date: J4 ; WZ
Yellow: Building Division
E.H. USE O t.Y
Rot Plan Attached
Hoes Pian Attached
' Sant to ®.O.
</- `3 -t, `f L M7 77
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-? 2 -oo 7
Owner N. Location AP#
Plan Approve f Sewage Disposal ter S ply Public Private Welx
Clearance fo swelling. Other akr
rAA n o . n I /An< _
Hold final for:
Final clearance O.K. for:
NOTE:
ZV4;k- \-I /A
Environmental Health Spe ialist
8/96
6-1
t._5
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER F�ltacf+lLp
PROPROSED BUILDING USE
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ 1:105. S
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School D' trict Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ t X $360.00 =$✓��
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES
A.P. #e -4..3/"a • G�7
DATE 10 •8 • C)4 -
RECEIPT # DATE REC.
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
p� 7. SRA FIRE INSPECTION AND PLAN CHECK FEE
-$�9:00'(paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
✓ 10. OTHER z 1 P 11. 13
+12634 10.8 • o+ -
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking pr ess. /
APPLICANT1.DATE G g G
Pursuant to Government Code Section 6602 , you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of th 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003)
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356
Download Forms: www.buttecounty.net/publicworks/forms.html
KOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
PermitNumber
District
APPLICATION
'E, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
ii hwa s, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted.
,plicant's Name: /ll / s�� (
f
la Company Name:
IJr�u' L��Z
y. �c�✓5dre\^ ���� � J b
n p
one: 7:5,85 (�./- }—��
(' J /
4. As or' P ccl Nu r. L
-- (� r� v V �IjP
-cation of Wf to be Done
rplicant's Signature7.
31-,4��L v�—
Date: (1 !Q
rJ
CONTRACTOR'S INFORMATION
)nVactor's Name
Go A6 T
ddress x 571 Po S A- J ]-5
"j
'hone:
11. Fax: @ ��
:ontractor's License Number:
13. Certificate of Insurance: Yes No: El
:ontractor's Signature:
14a. Date Signed:
Authorized Agent:
TYPE OF WORK TO BE DONE
Please Check:.
Curb: El Gutter: El Sidewalk: El
.�
17. If Driveway List Type: -_3
Other Work - Describe:
19. Plans Attached:
O Yes O'1�To f
PERMIT GRANTED
ompliance with the above request, and subject to all terns, conditions (including those on page 2 of this permit form) and special conditions written below,
nission is hereby granted.
Conditions
o
it
C__ YY\ 0 6z.
o f
Cov,t.1
der round Service Alert .S.A must be notified two working days prior to any excavation. 800-227-2600
❑ All work shall conform to accompanying: Detail X Plans ❑ Special Conditions ❑
Date issued l �� —Q
23. Expiration Date: %d —141 — Q
24. Surety:
Date Paid: (d
1
26%A Yount Paid: 27.
Paid By:
�G`LL•cr i 2;
28. Receipt No.:
G./�/ l..
ike Crump, Director of Public Works
By:
County
29. Final Inspection Date:
30. Inspected By:
❑ CO Weomplet d — No OK
❑ Additi Comments Attached
I only:
31. Comments:
te: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week.
Page 1 of 2
Department
r n it n t '
J. Michael Crump, Director
Public
f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase
11
Construction Storm Water Permit and Storm Water�CREollutlon Prevention
Plan (SWPPP) Acknowledgement ILESS THAN
Project Description:
Project Location and/or Parcel Number: itl 61
By signing below, I, the project owner/owner's 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 Contr
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 a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
`6-- #(!5-
Less than I Acre NPDES & SWPPP compliance Ccrtification
.. ,v— ►. r,..e.,. nnr Prnvmm
Name BRANSON JAMES D & KAREN D
Addrl 17771 MICA ST
�� — {
Addr2 STIRLING CITY CA 95978
Addr3
Asmt # Fee # 066-360-007.000
_ -
Status ACTIVE Status Date __ 1 i
Tax 000_' NORMAL OWhJERSHIP ;TRA 093-025
Situs U NIMSHEW RD MAGALIA
Base Dt F-
1
—L d oo. 074'' t
Addr4 i _ _ �" Timber Preserve Structure 5,613.,
Fixtures 01
Comments jF675070760 CONVERTED 09/08188- jEtal Growing 0
Creating D oc#1 197481888667 I Date
Current Doc# 2004R0076199� Date 1271512004 n Bonds
Multi Situs
Killing Doc# _ _ �� Date„ i-- Flag1
Asmt Desc SEC 27 T23N R3E 'I SuplCntJ3 j f7j FIag2
Zoning ARMH3 !y Dwellpo::71� 910 MH
j Asmt PP Pen
Acres7Sq Ft 1.5__ T _ _iN1C 066 i
17Tax PP Pen
F,' Appeal Pend
r,f Solit Pendin4
Total L&I 33,687,
Fix. RF 0"
MH PPI 0.
PPI 0
Exempt 0
Netj 33,687
R1C#j
T/R Dt�!
R7C Stat'
'HY I OWN ^�� EXP �Q_ TAX ~ -HON - �.. ATT _1 ~SIT APR -I = PCL
r -?Find
f 2004 Jslee, 0111212005 10:01:00 AM _ ,]
School District
A.P. Number
Property Owner
Property Location/A
Subdivision
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
�Cadis 4P Building Department No..
Jurisdiction: city County
Residential Development
,No of Living Mobile Home
Units Installation
Commercial/Indust t)
.1
15— New Addition
Building Department
WOO=
LUL FW.
..................................................................................................
Sq. Footage 1,53 n
Addition/ *Supplemental to (Group R),
Conversion Permit #
*(No foundation Inspection) i
....................................................................... 1 ....................... . ... I V" I '
Deed Restricted Sq. . roota§e
of tV -
(Attach a'signed copy of Deed Restriction and Notice 1imited Use Facility docerridrit)
j I ,j
Sq. Footage ,- , I j
(IhclWihg,Exterior
Roofed Areas)
cratli
District Identification No.
'-School District certifies that
(Applicant)
(Street Address) I I ' I -- (Phone Number)
(7
k—A
(City)
has complied with the requirements of Resolution No.
representing sqUare feet.
School District Representative 4, j
Paid by Check #
Remarks:
(State) (Zip Code)
by payment of $
2926 $
FULL 11111MIGATION $
Date
Notbe: You may protest the Imposition of the fen Identified above by submitting a written protest to it* District, In compliance with
Govorrinwid Code Section 66020(a), within 90 days from the " fees are OW. Fallure to submit a Unisly written protest vdll'prohlbtt
you from challenging the Imposition of the fen In any court action.
If, subsequent to the School Disibid.Represontativo signing this Butte County schoolslin;mict Fee Certification Form, the School District Is
notified
by the applleabls Local Planning Agency that this project Is being mviewed under the California Environments] Quality Act (CEQA),
#ft project may be sublect to additional school fen to fully m1dode.fte Impact on the school distr1cft schools.
White (applicant), Yellow (building department), Pink (school district.) r feeform.)ds (10103)dmm
tlz)&
is •" ,
:r•
N;�U WI LLDAServing Public �N
December 8, 2004
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX -
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
Willdan Project No: 14353-1216
Jurisdiction Job No: 04-2954
Assessor's Parcel No: 066-360-007
Applicant: Biegler/Schwartz
Description: New Single Family Dwelling
Dear Mr. Rutherford:
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.willdan.com
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2nd page of this letter. The' plans and
documents provided for this review that have been found in compliance with the applicable codes are:
Plans: Two (2) copies sheet Al dated 06/26/04 (revised 07/22/04), A2 through A4 and D1
dated 06/29/04, and sheet D2 dated 05/24/04 by David G. Anderson, Architect
* Energy Calculations: Two (2) copies dated 08/11/04 by Serena E. Brown, David Anderson
Architects
* Truss Calculations: Two (2) copies dated 07/15/04 by Longfellow Lumber, Inc.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
r
W.WILLDAN
Serving Public Agencies
APPLICABLE CODES
Unless noted otherwise, all comments are based on requirements of 'the 2001 California Building
Standards Code found -in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC"
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC"
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC"
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS"
CODE ANALYSIS
Type of
Type of
is` Floor
2" Floor
Sprinklers
Stories
Total Sq Ft
Occu anc
Construction
Sq Ft
Sq Ft
"7777
-
x
R-3
V -N j
No
1 1530
NA
1530
U-1
V -N
No
I 1 480
NA
480
Covered
V -N '
No
1 20.
NA
20
Porch(s)
e
s
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval" of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or note"s as red -lined on the plans.
{
3. All plan sheets shall be signed by designer or person responsible for the plans as required by
California Health & Safety Code Section 5536.1.
t
DEFERRED SUBMITTALS '
Our plan review reveals no deferred submittals.
SPECIAL INSPECTION NEEDS
. l
Our plan review reveals no special inspection needs pursuant to CBC 1701.
Sincerely,
i
{
Isaac Kuster
Plans- Examiner
i
Cc: AliceMefford,E-mail:5amefford@buttecounty.net
Biegler/Schwartz: FAX (530) 589-5845
Page 2 of2
t
V;
l �• j
Gordon Wright, P.E.
Plan Check Engineer
County of Butte PermitNumher 04-2954
Willdan Project Number 14353-12'16
RECORDING REQUESTED BY
MID VALLEY TITLE & ESCROW CO.
AND WHEN RECORDED MAIL TO:
LARRY BIEGLER
P.O. BOX 2041
PARADISE, CA 95967
2�rD14—X05?QM63
Recorded
Official Records
CountyBUTTEOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 16 -Sep -2004
I REC FEE 10.00
I TAX 63.80
MONUMEN 10.00
I
I
I
1 Myles
I Page 1 of 2
Above This Line for Recorder's Use Only
A.P.N.: 066-360-007 Order No.: 219850AM-ORO-C Escrow No.: 219850AM
GRANT DEED('
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY ukc � J
X ) computed on full value of property conveyed, or
l computed on full valueless value of liens or encumbrances remaining at time of sale,
X ] unincorporated area; [ ] City of _, and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
KERRI PONI FAIRCHILD, an Unmarried Woman
hereby GRANT(S) to
LARRY BIEGLER and ALYSIA BIEGLER, Husband and Wife as Joint Tenants AS TO AN UNDIVIDED 1/2
INTEREST and WALLACE SCHWARTZ, an Unmarried Man and KATHERINE SCHWARTZ-KRAMER, an
Unmarried Woman as Joint Tenants AS TO AN UNDIVIDED 1/2 INTEREST
the following described property in the City of UNINCORPORATED AREA, County of Butte State of California;
SEE ATTACHED LEGAL DESCRIPTION
kD r
r,,, c Z41
KE RI NI FAIR HI D
Document Date: August 10, 2004
STATE OFRNIA )SS
COUNTY OF
On �� before
cr—
ANGELA D. MASTELOTTO 0
Commission #1381124
n- Notary Public - California
V Butte County
My Comm. Exp. OCT. 22, 2006
personally appeared`Nsnk
personally known to me (or proved to me on the basis of satis actory evidence) to be the person(s) whose names 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.
This area for official notarial seal.
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
Preliminary Report
Description
Order No. BU -219850-3 AM
The land referred to herein is- situated in the State of California, County of Butte, and is described as
follows:
PARCELI:
BEING A PORTION OF THE SOUTH HALF OF SECTION 27, TOWNSHIP 23 NORTH, RANGE 3
EAST, M.D.B. &• M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTH QUARTER CORNER OF SAID SECTION 27; THENCE ALONG
THE SOUTH LINE OF SAID SECTION, SOUTH 89 DEG. 22' EAST 268.29 FEET TO THE
CENTERLINE OF NIMSHEW RIDGE ROAD; THENCE ALONG SAID CENTERLINE NORTH 2
DEG. 33' 30" WEST, 741.00 FEET; THENCE NORTH 89 DEG. 22' WEST 367.38 FEET; THENCE
SOUTH 16 DEG. 24' WEST 202.39
FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE
FROM SAID TRUE POINT OF BEGINNING, CONTINUING SOUTH 16 DEG. 24' WEST 165.56
FEET; THENCE NORTH 88 DEG. 53' WEST, 386.62 FEET; THENCE NORTH 159.73 FEET;
THENCE SOUTH 88 DEG. 53' EAST, 433.38 FEET TO THE POINT OF BEGINNING.
APN 066-360-007-000
PARCEL 11
A NON-EXCLUSIVE EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD
PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND DESCRIBED AS
COMMENCING AT THE SOUTH QUARTER CORNER OF SECTION 27, TOWNSHIP 23 NORTH,
RANGE 3 EAST, M.D.B. & M.; THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH
89 DEG. 22' EAST, 268.29 FEET TO THE CENTERLINE OF THE NIMSHEW RIDGE ROAD;
THENCE ALONG SAID CENTERLINE, NORTH 2 DEG. 33'30" WEST 716.00 FEET TO THE TRUE
POINT OF BEGINNING OF SAID EASEMENT; THENCE FROM SAID TRUE POINT OF
BEGINNING, NORTH 2 DEG. 33' 30" WEST, 25.00 FEET; THENCE NORTH 89 DEG. 22' WEST,
367.38 FEET; THENCE SOUTH 16 DEG. 24' WEST, 565.48 FEET; THENCE SOUTH 89 DEG. 53'
EAST, 36.00 FEET TO THE CENTERLINE OF THE PACIFIC GAS AND ELECTRIC COMPANY
UPPER CENTERVILLE DITCH; THENCE ALONG SAID CENTERLINE NORTH 15 DEG. 48' 40"
EAST 537.66 FEET; THENCE SOUTH 89 DEG. 22' EAST 345.65 FEET TO THE POINT OF
BEGINNING.
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004-00732 1 S
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:27PM 30 -Nov -2004
REC FEE 10.00
COPIES 2.50
Myles
Page i of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this. property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date I l "�6 _0 1 PROPERTY O
�JG�l4GC S�wu��z 6yC4.-y��w���z Air
State of California ) U✓h P /h 44 c r
County of tk� )
On (1.1 3o I A- before me,
personally appeared " personally
known to me (or proved to me on the basis of satisfact ry evidence 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.
WITN S my hand and official seal.
Signa a
-��� ANGELA D. MASTELOTTO
A.P. # cJ Commission #1381124 M T
C
Notary Public - California m
Butte County
.4; My Comm. Exp. OCT. 22, 2006
'.-
Preliminary Report
Description
Order No. BU -219850-3 AM
The. land'referied to herein is situated in the State of California, County of Butte, and is described as
follows::.
PARCEL I:
BEING A PORTION OF THE SOUTH HALF OF SECTION 27, TOWNSHIP 23 NORTH, RANGE 3
EAST, M.D.B. &- M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTH QUARTER CORNER OF SAID SECTION 27; THENCE ALONG
THE SOUTH LINE OF SAID SECTION, SOUTH 89 DEG. 22' EAST 268.29 FEET TO THE
CENTERLINE OF NIMSHEW RIDGE ROAD; THENCE ALONG SAID CENTERLINE NORTH 2
DEG. 33' 30" WEST, 741.00 FEET; THENCE NORTH 89 DEG. 22' WEST 367.38 FEET; THENCE
SOUTH 16 DEG. 24' WEST 202.39
FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE
FROM SAID TRUE POINT OF BEGINNING, CONTINUING SOUTH 16 DEG. 24' WEST 165.56
FEET; THENCE NORTH 88 DEG. 53' WEST, 386.62 FEET; THENCE NORTH 159.73 FEET;
THENCE SOUTH 88 DEG. 53' EAST, 433.38 FEET TO THE POINT OF BEGINNING.
APN 066-360-007-000
PARCEL 11-
A NON-EXCLUSM EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD
PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND DESCRIBED AS
COMMENCING AT THE SOUTH QUARTER CORNER OF SECTION 27, TOWNSHIP 23 NORTH,
RANGE 3 EAST, M.D.B. & M.; THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH
89 DEG. 22' EAST, 268.29 FEET TO THE CENTERLINE OF THE NIMSHEW RIDGE ROAD;
THENCE ALONG SAID CENTERLINE, NORTH 2 DEG. 33'30" WEST 716.00 FEET TO THE TRUE
POINT OF BEGINNING OF SAID EASEMENT, THENCE FROM SAID TRUE POINT OF
BEGINNING, NORTH 2 DEG. 33' 30" WEST, 25.00 FEET; THENCE NORTH 89 DEG. 22' WEST,
367.38 FEET; THENCE SOUTH 16 DEG. 24' WEST, 565.48 FEET; THENCE SOUTH 89 DEG. 53'
EAST, 36.00 FEET TO THE CENTERLINE OF THE PACIFIC GAS AND ELECTRIC COMPANY
UPPER CENTERVILLE DITCH; THENCE ALONG SAID CENTERLINE NORTH 15 DEG. 48' 40"
EAST 537.66 FEET; THENCE SOUTH 89. DEG. 22' EAST 345.65 FEET. TO .THE POINT .OF
BEGINNING.
LESS THAN 3 ACRE CONVERSION EXEMPTION
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, and 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: Name Gene Jefferry Rolls
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (530)343-7341
SIGNATURE Date
TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when 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://www.boe.ca.gov.
A. Circle the option that most closely 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
Estimate what percentage of timber to be removed during this harvest will be:
Redwood _%; Ponderosa pine/Sugar _ %; Douglas -fir %; Fir %;
Port -Orford Cedar—%; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood—%.
2. TIMBERLAND OWNER(S) OF RECORD: Name Jim Branson
Address PO Box 5
City Sterling City State CA Zip 95978 Phone (530)966-4195
I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a
"bona ride intent" [14 CCR 1100 (b)] to convert to home construction site and yard area, and that I have mailed a
letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent
landowners within 300 feet of the boundaries of the exemption.
SIGNATURE Date
3. LICENSED TIMBER OPERATOR(S): Name _Gene Jefferry Rolls Lic. No. A7332
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (5301343-7341
SIGNATURE Date
4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland
conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries
the conversion, location and classification of all watercourses, and landing locations.
Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number
27 23N 3E MDBBM BUTTE 1.5 ac 066-360-007
Page 1. NOTE:This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to complete.
FOR ADMIN. USE ONLY
STATE OF CALIFORNIA
DEPARTMENT OF FORESTRY AND FIRE PROTECTION
Ex. #
NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM
CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS
Date of Receipt
RM -73(1104.1 a) (9/99)
Date Accepted
VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF
TIMBER OPERATIONS CANNOT START UNTIL VALID COPY
Date Expires
1
OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF
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, and 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: Name Gene Jefferry Rolls
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (530)343-7341
SIGNATURE Date
TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when 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://www.boe.ca.gov.
A. Circle the option that most closely 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
Estimate what percentage of timber to be removed during this harvest will be:
Redwood _%; Ponderosa pine/Sugar _ %; Douglas -fir %; Fir %;
Port -Orford Cedar—%; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood—%.
2. TIMBERLAND OWNER(S) OF RECORD: Name Jim Branson
Address PO Box 5
City Sterling City State CA Zip 95978 Phone (530)966-4195
I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a
"bona ride intent" [14 CCR 1100 (b)] to convert to home construction site and yard area, and that I have mailed a
letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent
landowners within 300 feet of the boundaries of the exemption.
SIGNATURE Date
3. LICENSED TIMBER OPERATOR(S): Name _Gene Jefferry Rolls Lic. No. A7332
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (5301343-7341
SIGNATURE Date
4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland
conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries
the conversion, location and classification of all watercourses, and landing locations.
Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number
27 23N 3E MDBBM BUTTE 1.5 ac 066-360-007
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 state rules and regulations may be found on CDF's
Web Page on the Internet at http://www.fire.ca.gov.
B. All timber 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
acknowledgment.
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 Director.
6. I, "-/J)$ NbgLlare as the authorized designee of Butte County that this
conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county /town has
authorized a designee this ite UST be completed. If it has not, see item 7.)
SIGNATURE DateTSf o5�
7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884
Address PO Box 5663
City Oroville State CA Zip 95966 Phone (530)534-5229
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 ostmark date of submission of the Notice of Conversion Exemption,
and that if the County Board of Supervisors has not des"!nated a representative authorized to sign in Item 6., that 1, or my
supervised designee, contacted the county a e tiis in c ormance with county regulations.
SIGNATURE of RPF Date D
8. NOTICE SUBMITTER(S): Name Gene Je r oils
Address PO Box 432
City Forest Ranch State CA Zip 95942 Phone (530)343-7341
Submitter must be either 1', 2, or 3 above, and must sign. SIGNATURE Date
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
Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas,
=> 6105 Airport Road
Yuba, Sierra, Nevada, and Placer Counties.
=> Redding, CA 96002
EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare,
=> 1234 East Shaw Avenue
Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties.
=> Fresno, CA 93710
Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and
=> 2524 Mulberry Street
Imperial Counties.
=> Riverside, CA 92501
WINTER OPERATIONS Branson less than 3 acre conversion
For Timber operations occurring within the Winter Season the following plan shall be used;
The in -lieu option as allowed in 14 CCR 914 (934, 954) .7
14 CCR 934.7(c)
1) Tractor yarding, or the use of tractors for constructing layouts, firebreaks or other tractor roads shall be
done only during dry, rainless periods where soils are not saturated.
2) Installation of drainage facilities and structures, is required from October 15 to May 1 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 The provisions of this subsection do not
apply to mechanical site preparation.
3) During winter operations after rains, road use shall be suspended until the running surface has stabilized by
freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable
medium.
* No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCR
895.1. Emergency road maintenance conducted to alleviate erosion problems does not fall under this limitation.
* Erosion control structures will be maintained in working condition during wet weather road use
at any time of the year.
NOTE: "Winter period" means the period between November 15 and April 1, except as noted under
special County Rules at Title 14 CCR 925.1, 926.18, 927.1, and 965.5 (a) except as otherwise
provided in the rules: (1) All waterbreaks shall be installed no later than the beginning of the winter
period of the current year of timber operations. (2) Installation of drainage facilities and structures
is required from October 15 to November 15 and April 1 to May 1 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.
Saturated Soil Conditions means that site conditions are sufficiently wet that timber operations displace soils in yarding
or mechanical site preparation areas or displace road and landing surface materials in amounts sufficient to cause a
turbidity increase in drainage facilities that discharge into Class I, 1I, 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 1, II, III, or IV waters, or in amounts sufficient to cause a turbidity increase in drainage facilities that
discharge into Class I, II, III, or IV waters, or d) creation of ruts greater than would be normal following a light 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 performance, b) inadequate traction without
blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in
receiving Class I, II, II1, or IV waters, or in amounts sufficient to cause a turbidity increase in drainage facilities that
discharge into 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.
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