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066-420-008
66=42-8 SEROWICK, Walter A. 618-72 P&EWAiTER S RWICK _ • •`t'l e - - �.. 25 I''dVy' Dr, iQt 8 India Meadows Sub, r 6_ _-08 --1.405-72P= a lia � , Co itr�: - 6041b stMaga g � lZrmit Mari#4115-78B(new pri. garag ) SF Lot 39, Ishi Dr.., Indian Meadows #21 gas As CONTR: Andel Ballard, Paradise• robb- f�Zo--oo8.9 �- �!S.F�Cov �a2c� 066-420-008 04-3388 HARDT, WENDY 6751 IShlt DR, MAGALIA A� Cont: EXECUTIVE HOMES MH PERM FND B07-2288 066-420-008 MISCELLANEOUS Wood Deck OPEN DECK 14'X20' 6781 ISHI-DR :. HARDT, WENDYMARIE• (mobile `home) �� O mhome (*deck for obile )'I Z Z — . ��7 �^ - cc�� c.i` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6781 ISHI DR Owner: Permit N0: B07-2288 APN: 066-420-008 HARDT, WENDY MARIE Issued Date: 11/7/2007 By GLB Permit type: MISCELLANEOUS 6781 ISHI DR Subtype: Wood Deck MAGALIA, CA 95954 Expiration Date: 11/6/2008 Description: OPEN DECK 141X20' (530) 872-4829 Occupancy: Zoning: RT -14 Contractor Applicant: Square Footage: PETERSON'S CONSTRUCTION CO PETERSON'S CONSTRUCTIO Building Garage RemdUAddn 1683 HOLLYBROOK DRIVE 1683 HOLLYBROOK DRIVE PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 680-3556 (530) 680-3556 280 280 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Deck -Open (Wood) $159.00 DBSMIP Residential $0.50 Total Charged: $235.20 Fees Paid: $235.20 Balance Due: $0.00 Receipt No: B5234 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PETERSON'S CONSTRUCTION 762938 I / 5/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing ilh Section 7000 of Division f the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) s in full for and elle 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 X 11/7/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Ok_JISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/7/2007 compensatio provisions of Section 3 bor Code, I shall forthwith comply with those Owners Signature Date provisions. X /7/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignWW Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. mentioned property for inspection purposes. I hereby certify that I am the County55ffilqped grope to act ontproperty n�behalf. 1/7/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me O Permi ee [SIGN] pint Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ OwnerAT Contractor OR E]Agent for Owner 11Agent for Contractor FILE COPY Lenders Address City State Zip oBUTTE COUNTY �vTT�o DEPARTMENT OF DEVELOPMENT SERVICES V PERMIT o. o' BUILDING PERMIT APPLICATION. N0. ° ° OFFICE #: (530) 538-7541 FAX#: (530) 538-2140 o -_ -_�h f o° A FEE WILL BE'REOUIRED AT TIME OF.APPLICATION e •� Website: w. tw.buttecounty.net/dds BIN '# 01i I� **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name f First Name Mailing Address 7 n City i State Zipg : 9 y Phone Fax Fax E-mail State License Number CONTRACTOR Name Address b 3— City //S� a4�j State ZiP9�g /�� Phoneb —3SS Fax... E-mail . Lic. # � 13� Class APPLICANT SIGNATURE x PROJECT LOCATION Property Address City WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of perm►t issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Ope Cov ❑ Structure Built without Permits 'Al �'-'� J ❑ 'Proposed Change of Occupanc J (Note previous use): For office u ARCHITECT/ENGINEER Name �. Address . City City State Zip Phone � _ 35.�� Fax E-mail State License Number APPLICANT SIGNATURE x PROJECT LOCATION Property Address City WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of perm►t issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Ope Cov ❑ Structure Built without Permits 'Al �'-'� J ❑ 'Proposed Change of Occupanc J (Note previous use): For office u APPLICANT INFORMATION Name' Address No Occ. City . � State Zi Pho6 � _ 35.�� Fax . E-mail APPLICANT SIGNATURE x PROJECT LOCATION Property Address City WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of perm►t issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Ope Cov ❑ Structure Built without Permits 'Al �'-'� J ❑ 'Proposed Change of Occupanc J (Note previous use): For office u Zoning Flood Zone SRA I Yes No Occ. Type Const. 1, �/�¢•.,, � lIII �II II����I'III I�'l l�iN �II'�'� RECORDING REQUESTED BY: MANUFACTURER'S NAME DATE OF MANUFACTURE Recorded I REC FEE 10.00 CAFL417AM28187-WA13 Official Records I CONFORM 1.00 PFS0890047/8 County Of I COPIES 2.00 LENGTH X WIDTH BUTTE 1 CANDACE J. GRUBBS i Recorder I AND WHEN RECORDED MAIL TO: ROSEMARY DICKSON I Assistant I Myles 03:16PM 09 -Mar -2005 I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WENDY MARIE HARDT BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6781 ISHI DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 04-3388 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT RNIT N0. TELEPHONE NU BER SAME 3 ANAEEOF CITY COUNTY STATE ZIP LOCAL AGE OF CIAL D E SAME EXECUTIVE H MES UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") SAME 92081 MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES CA 2005 4603B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER CAFL417AM28187-WA13 60'4" x 268" PFS0890047/8 SERIAL NUM BER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-420-008 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. X90-50699 v ! l ti TAT 39, AS SIIOWN ON THAT CERTAIN MAP ENTITLED,. "INDIAN MEADOWS SUBDIVISION UNIT NO. TWO", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 78 AND 79. EXCEPTING THEREFROM AN UNDIVIDED 33 1/3% INTEREST IN ALL MINERALS AS RESERVED IN n`;ED RECORDED IN BOOK 743, PAGE 68, OFFICIAL RECORDS. SAID RESERVATION DID NOT INCLUDE RIGHT OF ENTRY FOR MINY';G PURPOSES. AI,',' ElCEPTING THEREFROM AN UNDIVIDED 66 2/3$ INTEREST IN ALL MII=.'.iltAi w; BELOW A DEPTH OF 200 FEET AS RESERVED IN DEED RECORDED JAINARY 27, 1972, IN BOOK 1731, PAGE 658, OFFICIAL RECORDS. SAID RESERVAT'ION DID NOT INCLUDE RIGHT OF ENTRY FOR MINING PURPOSES. END OF DOCUMENT RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CONY of Document Recorded 09 -Mar -2005 2005-0013280 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy,for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WENDY MARIE HARDT REAL PROPERTY OWNER&ESSOR 6781 ISHI DR. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-3388 530 538-7541 BUIWERMITNO. ! TELEPHONENU BER 1 AT E OF LOCAL AG OF CIAL D EXECUTIVE H MES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. FLEETWOOD HOMES CA 2005 4603B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER CAFL417A/B28187-WA13 60'4" X 268" PFS0890047/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-420-008 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. a s i ( _ 'C .'t s .. ^y a }K''� Y�•ti ti 5 -�a i ��'�k s,r >.,�i,%}I a `j j g r.. ? - �rltt, A axP.:.-r AV � � r krs x ¢ S �aC vFOUNDAT77I,OfiNSYST�EM}5h '� CER�TfIFI' i 'S� {4t sa '-4 •� t, .z T.ft'` � � v : i� rsj � ;,. �F �'S i i. '+'y � ., F} ?�� f'�} ..a'S kyr �' . v {� F' � Ri�K kr ''� 2 i F., '�h � F + ��i" , r :.--. -. : �.:.: `+,� :.,.:-.. .,... .?�.. _:? '� ,.,.. :✓, ..1`8h�.f;�2c.3 +,. #..Y., ��r. s,«59JC;�r s. f. ,?'e. ('..,�"$. :� - x.�°.it._. BUILDING PERMIT NUMBER: 04-3388 Address or location of unit: 6781.ISHI DR., MAGALIA CA 95954 Legal Description of Real Property: AP#: 066-420-008 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WENDY MARIE HARDT Owner's address: 6781 ISHI DR., MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: PFS0890047/8 SERIAL NUMBER OR V.I.N.: CAFL417A/B28187-WA13 MANUFACTURER'S NAME: FLEETWOOD HOMES CA. YE R: 2005 OFFICIAL APPROVING INSTALLATION: DATE: �j OS PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUES'T'ED BY AND WHEN RECORDED MAIL TO: wendy Marie Hardt 6781 Ishi DR Magalia CA 95954 A.P.N.:006-420-008-000 Order No.: . 'I{Illgllllll{II{IIIIII{IIIIIII{ Recorded Official Records County Of BU UE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:06PM 09 -Jun -20M RCC FEE •10.00 Lisa Page 1 of 2 Above This Lina for Recorder's Use Only Escrow No.: GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $ 0. [ ] computedbn full value of property conveyed, or [[ X]] computed on full value less value of liens or encumbrances remaining at time'of sale, unincorporated area; [ ] Town of _, and Butte County: FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, Wendy Marie Hardt, An unmarried woman, who acquired title as Wendy Marie Cloyd, a single woman. hereby GRANT(S) to Wendy Marie Hardt, an unmarried woman. the following described property in the Unincorpor,-County of Butte State of Califomia; ate Area vo, Document Date: -re /-1y 10 56 STATE OF CALIF )SS COUNMOF__ _ ) 91L (or proved'% me on the basis of satisfactory evidence) wbe the person(c) whose nam * is/aw subscribed to the widdu , instrument and acimowiedged to me•that is/shellbW executed the same in WrAer/thair autborized capaciry(ies)•and tbat by hWher/th* signature(e) on the instrument the person(s) or the entity upon bgWf of which the person(4acted, executed the instrument. This area for official notarial seal. MRLWA E. PLOWD C—ammhsaon N 1392472 . ► Nolmy htft • Caiitornia Su to County My Comm. Enpirss Jon b, 2007 Mail Tax Statements to: SAME AS ABOVE or. Address Noted Below FILE No . 984 03/09 '05 PM 0141 I D :EXECUTIVE HOMES FAX :530 891 8753 PAGE 2 ' • i0i 0? '� STATE OF CALIFORNIA BUSINB88• TRANSPORTATION AND MOUSINO AGENCY NUMBER: DEPARTMENT Of HOUSING AND COMMUNITY OEYELOPMENT 8723686 OW)SION OF CODES AND STANDARDS b MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN RLIIa(0)LI]Qp(: ORIGINAL (PINK) FORWAADT 4HE INVENTORY CREDITOR. UNL B8 THERE 18 NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD 771100 THE DEPARTMENT AT P.O. BOK W28. SACRAMENTO. CA 95812.1828. WITHIN FIVE (S) DAYS OF RELEABE;', COPY 2 (YELLOW) , DELIVER TD trite TRANBPOkTER TO ACCOMPANY THE UNIT TO ITB DESTINATION, COPY 3 (OOLDENR00) TO Be RETAINED BY T14E MANUFACTURER. NCD 483.0. SIDe t - (7187) ❑ CHECK IF THIS 19 A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED bObdE OR MULTLUN)T MANUFACTURED HOUSIIN 3 SFD ❑ NUMBER OF TRANSPORTABLE SECTIONS 2 (SINGLE FAMILY DWELLING) MUMH (MULTI -UNIT MANUFACTURED HOUSING IAL COACH: OCCUPANCY GROUP MANUFACTURER NAME- MANUFACTURE11 LICEPSE NUMBER: FLEETWOOD ROMEO0f CALIFORNIA, INC. 9534 PBOX 1308SASA� 8 0 ED RETIL PRICE: PO WOODLAi1D CA � 95776 S I CI state ZI MAN RADE NAM : MOD L NAME ANO/OR NUMBER: GATE OF MANUFACTURE: WATERFORD 4603D 2005 01/ 9/2005 NAME OF DEALER OR TRAM i (OWNER NIP TRANSFERRED TO): CALIF.ER NUMBER OR DATE OF TRANSFER: SECURITY M/H SNOW/NORTH, INC. TRANSFEREE DESIGNATION: DRAT MCUTIV3 ROMEO 92081 01/20/2005 DEALER OR TRANaPPEE ADDRESS: ESPLANADE CBICO CA 95973 Sfe0e12 C Blete Z) INVENTORY EDIT R NAME: P RATION INVENTORY CR-92AE ITOR ADDRESS: ATTIN INVENTORY.FIMANCE AI MARKET STREET SUITE 100 KNOXVILLE TN 37902 sate I SECTION MANUFACTURER SERIAL NUMBER ItCO INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WE1014T 1'0 INCHES INCHES POUNDS 1 CAPL417A28187—WA13 Pr00090047 724 160 26,860 2 CAFL417828 87-WA13 PFS 890048 724 160 26,280 TRANSPORTER NAME: EMMETT TRUCK TRAHOPORTI INC, TRANSPORTER ADDRESS: 1001 INDUSTRIAL PARKWAY Btu • BOX 569 C, MCODHOUGE BIN, GA z 30253 DESTINATION FOR UNIT DESCRIBED ABOVE: NAIVE SesN iNe Z I antsy under ooelty of mM y urger V,e Iowa of the State of CeIBomle mat the above face we true mA tetrad. Executed on 01/1912005 e1 WOODLAND YOLO CA ate) W) ( ounly) tete) SIGNATURE OF AUTHORIZED AGENT: RLIIa(0)LI]Qp(: ORIGINAL (PINK) FORWAADT 4HE INVENTORY CREDITOR. UNL B8 THERE 18 NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD 771100 THE DEPARTMENT AT P.O. BOK W28. SACRAMENTO. CA 95812.1828. WITHIN FIVE (S) DAYS OF RELEABE;', COPY 2 (YELLOW) , DELIVER TD trite TRANBPOkTER TO ACCOMPANY THE UNIT TO ITB DESTINATION, COPY 3 (OOLDENR00) TO Be RETAINED BY T14E MANUFACTURER. NCD 483.0. SIDe t - (7187) NOTES RESIDENTIAL 066-420-008�- - PERMIT NO. - U4-3388 HARDT, WENDY J 6781 ISHI DRN, MAGALIA + Cont: EXECU IVE"HOMES ''MH PERM FND /I + 1 I �Fc_z�t� rich=� 1 I 1 iAB I SPECIAL CONDITIONS 4 CHECKED j; BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. �{ SPECIAL INSPECTION ITEMS le VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 1 � Address Ty- JOE I GAS Meter By Date ELECTR MeterB Date J=OK 0 = Not OK = NotReadyable ' MOBILE HOMES Date MOBILE -HOME UTILITIES (Plans) OK except #'s est -Demand -Valve -Connector oning Requirements -Setbacks -Easements 4;L11-ectricity; 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete MH Test-FoklFlex Connector 4. Wat r; Location -Test -Easement Needed (Sketch) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 5. ctricity; Location -Clear ces-Grnd-/ /Amp -Concrete 4. Gas; Location-Test-Wra ,-/ J•/" L;ft. / P Nat. or / /" L "ft./ � %',L 7. Well Clearance & Disconnect -7 an ewer Connected C/O to Grade -HD Approval 8. Utility Clearance 8: Gas Electricity Tagged i T' owns -Type -Installation Cert. Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 1. Zonino Rea uirements-Setbacks-Easements P!Fbotings Size -Spacing -Marriage Line MISCELLANEOUS 3 est -Demand -Valve -Connector 4;L11-ectricity; MH Test -Crossovers -Breakers -Clearances L_Ora-in; MH Test-FoklFlex Connector 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails er; MH Te -Regulator-Connector 4. 7.er an ewer Connected C/O to Grade -HD Approval 5. 8: Gas Electricity Tagged 9. T' owns -Type -Installation Cert. 1. Exits; Insp.-Sketch Cert. of Occupancy 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date PERMANPWEND SYSTEM (ONLY) Braced Wall Panels C--enipg.Requirements-Setbacks-Easements Date 91Kg-s; Size -Spacing -Marriage Line Card B-1 Date Card B-1 L,Koc_k'ag a , H Test -Demand -Valve Card B-1 Date Card B-1 Date le cit MH Test 1. a MH Test 2. ater and Sewer Con cted 8. Gas and Electri ' agged 9. Exits 10. License Decals i 11. Verify #'s with Office 4 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date 8. Card B-1 Date Card B-1 Date 9. 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 j 10. Roof; Shthg-Roofing jj 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 i 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 4 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit ( 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms J Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter 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 Kitchen & Conductor Size GFI 82. 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 All Insulated Neutral 0 Yes 0 No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House 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 96. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 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 s 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 -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card 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. Duct 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 (F.F.I.)-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 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 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 B-1 Date Card B-1 Date Card B-1 Comments at Final BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds 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 the Business and Professions Code, and my license Is In full force and effect. Llcense C+lass : License Number: Date:-'.\ Contractor.F�'e( t , r ���f . OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cily.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 applicarit for a permit subjects the applicant to a civil penally 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' State License Law does not apply to an owner of properly 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 properly, 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.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. "l 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. Lon r A (�, I 1:�,(S C o<"p Policy #: \V) a, tTt� Q 1� HOZ PERMIT NO. BP043388 Issued Date: 01/20/2005 APN: 066-420-008-000 Site Address: 6781 ISHI DR MAG Map Index: Description: NEW MH ON PERM FND EX SITE(1599) Owner: HARDT, WENY. MARIE 6781 ISHI DR MAGALIA, CA 95954 530-872-4829 Applicant: EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA 95973 (530)891-6992 Contractor: EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA 95973 (530)891-6992 License #: 640583 Architect: Engineer: Total Square Ft: 1599 S.F. Valuation: $103,935.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ;-D o SJ Applicant: c WARNING: Failure 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 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY i rss permit is neret I hereby affirm that there is a construction lending agency for the Resolutions to do performance of the work for which this permit Is Issued (Sec 3097 Clv.) [moi Name: By PERMIT EXPIRES Address: under the applicable provisions of the Butte County CodR anrUor �� it d�abo�va f/or�which fees have been paid. Date: 1;o - ❑ 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 o1 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 thell em 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 an official form or document of Butte County. 1 hereby authorize repro entatives of Butte County to enter upon the above mentioned property for Inspection purposes Print Name: M �- V Signature: 1 C� Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor Name Address -7 I ne g E _ iail 13I1'1'1'1� COC1N7"Y D 1'AlUFNIEN'1' Ole 1)leVlel,Ol'A41PN'1' S1e12V1C i S 13C111:1)1NC P1,11A411' Al'I'1.,1CA'1'10N AND Stil3All'1"I'A1., ItleQUIR1 WEWS 24 HOUR INSPECTION//: OROVILLL: (530) 538-7636 • CIIICO: (530) 891-2834 OF110E ll: (530) 538-7541 A FEE WILL .BE REFI UIREU AT TIAIE OFAI'PI.ICATION OWNER I b r. PFa ate x 01 1'ETtA71T NO. BPO453Y BIN # Fax C, StaleL�enso�,-�U�` �J r`GP��KG APPLICANT N, � �` i Name uG`�`��,.J`1"\ - Address�O� r_� i tier•. 1 Phone Q�j (e / _ 9 E - mall U / ' Slate Zip C2 Sq Fax 0-7 1•_ g? 7S APPLICANT SIGNATURE LX M For offlce use only: Zoning- Occ. Subdivision Name Flood Z;Map e Yes No Type Const. Book Page Lot # Planner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMSWILDING FORMS\Bl dgApplSubRgmts.doc Page 1 of 2 Received by � Amount: Bldg odd 9SRA Receipl fl:f (�S Sheriff /O ' SUP Dale: I I J30 * Olher REV 4=30-04 otal ' (//jam/) ) .. • - .. _ (j\ (Y\ 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: AJ_ASSESSOR PARCEL NUMBER 0 Proposed Building Use: Counter Technici : Date: Ll Items required in order to appy for permit. All b�arer s MUST be checked OR marked NA i o der o apply.1. Site plans, 3 or 4 sets, signed by the pre 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. 0 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. 0 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. SS_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. 0 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. 0 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 0 13. Detached Accessory Building Form filled out by the owner 0 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico ❑ Oroville, as applicable. �j 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 ........................................... ........ ❑, 20. Erosion Control Plan Required................................................�:......./� 21. Fees as shown on the attached Schedule of Fees Due Sheet.�iLbTiC. 22. City of Chico Plumbing permit ................................................... . 23. California Department of Forestry plan approval C3 aid. Sent b .......... 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 4� 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification)........*.......... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement.. ............................... ❑ 34. Manufactured home utility clearance............................................................... 0 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... 0 37. ❑ Grant Deed, 0 M.H. Ti e/Statement of Facts, ❑ Letter from Legal Owner, 0 Check to H.C.D. $ 0 38. Other: 7Y1 C 0 39. Other: When issued Telephone _A!j j_& G� and hold for pickup. I have been informed of the above items and requirements for obtaining a bui Applican . �i� - p� 1. Index permit applicatio for the above items numbered: cc�� s� b�Gti Plan Check Letter 2. Ad ' ' nal items required oae ntracto esigner, owner, was advised of the above data by phone, c3 mail, ❑ counter, b Date: of on ractor. designer, own r, was advised of the above ata y ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: l'L ay Plans approved by: &-- Date: /L Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ( t- r✓ Yellow: Building Division 101�_ ALdo,#.�5 60°7 /i'/A_ c,4,J /�. COnfe-S Ij E.H. USE ONLY ` 'Piot Plan Anschod Floor Plan dn=ftod Sento B.D/ TO: Building Department a FROM: Environmental Health SUBJECT: Sanitation Clearance 6791 Owner Location AP# Plan Approved for: Sewage Disposal '< Water Supply: Public >< Private Well Clearance for 4*gAiag. Other Z �o�r>� /2 ; A Hold final for: Final clearance O.K. for: NOTE: Cle",: /ze is Environmental Health Specialist A." is -Zy-e4 Date 4 BUTTE COI( SCHOOLS IMPACT FEE CERTIFICATION F (One form per Building) School District 'P"Z'P'0 S ev— Building Department No. A.P. Number 0 6 e2ld5sdzoton: city County Property Owner Property Location/Address Subdivision Lot No. Residential Development Q FIA'l .............. . ...... . ......................................................................... I Sq. Footage No of Living Mobile Home Addition) *Supplemental to (Group RJ Units Installation Conversion Permit # *(No foundation Inspection) ............................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industn' Q Sq. Footage New Addition (including Exterior Roofed Areas) Building Departure t Representative Date Dis1rict Identification No. 3o L/z--� (Street Address) a 6-6) (City) S-,-013 District certifies that r14— (state) JApplicant (Phone Number) 7'5-19� -73 (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing, square feet. 2926 $ N School District Representative V Date Paid by Check # Remarks: 1A4 /F Notice: you may W~ the Imposition of the fan identified above by submitting a written proftsl: to the District, In compliance with Govern. wnt Code Seddon 66020(a). within 90 days from the dsi6 fns am paid. Failure to submit a timely written protest will'prohlbit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing thW Buns County Schools Impact Fee Certiftation Form, the school msuw is nodIled by the applicatille Local Planning Agency that this project is being reelewsd under the California Envircivnental Quality Act (CEQA), this project may be subject to additional school fento fully~a. ' ftImpact on the school district's schools. White (applicant), Yellow (building department), Pink (school district.) feeformads 0 0/03Wmrn 1- MISCELLANEOUS BU1.J.-DING ,,-RECORD PARCsZ Ger r�ESS 2 i �� �1, SHEET 2 of SHEET: nF_�qCR!,pTVol@! oP BUILDINGS Bldg. No Structure Size Found. Wall 6 Exterior Roof Second Story Floor S Interior Oetm3l or Loft Year IFS Buil? Tot. Life Yrs Typa Cover �1 n , Cne ��_;1':'� co� --- ,;L4 I,;Y24 =,422 � l.iil C��`f , J,, 1�.-,-IJTI. (_ ��1C !',� `.t t � o w... -c �. J •\ k_i� +./ � rS 2 ,4 i�G�llL.:y l', �.�v /1IGr`7 \....r'�..-,/'. v+� D f o `�i eR_A. e L { -f:;* tj is+?C_0 o I V UO . c2c>o C -m ! _COMPUTATION Appraiser -Date NO. ArGa ' : * Cos Cost �„ GoDd 19 `'', R. CJ. H. Co ? OL 1 19 , � ,- _ -t t Cos? Good R. M. D. ( �rLs c> .S-Z9 Cos° Cost Gcood !3?�% LR. N. N. yy i . Cosi -IS- oZ Coad Go®rJ 19 RL. M. �. co� --- . M UO . c2c>o Total Use- 12,0_0() a/OOC� G� v COO appraiser- Date 19 19 19 19 Bldg. Area hJn. Unit o t Cmst % Good R. C. A1. A Up Qs Cost % ood R. c. N. At. D. Unit st Cos? % o R. C. Al. Unit C Cos? 'Jm R. C. Al. O. Toto! — ---- o,?J�STMf wr a� �UTrF °° ° C °I Department J. Michael Crump, Director Public f B u t k 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 II, Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: ���<-' e , 1014 /1) 1777,/ D/JiLrl��� Project Location and/or Parcel Number: e/ WE 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 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 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: L'0 --'L Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 i 3 1-0 SITE PLAN REVIEW APPLICATION Date: IJiF(,. E Z. o o9 AP# 46- L12t) — of s Permit Number (if applicable) 0 � — 3W Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: [+Y4 p r E �� a Owners Address: Telephone No.: Situs Address: t_1VQE,!L/ 19X466:' 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. ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well [:]Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 11 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ll Site Plan Stamped Approved , f By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: N Snow Load Area: loco' — 2 S � ❑ 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) ZZ4,o SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 0yo0 C Index Date: 6 -- ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulben-y (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 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 2 v 0 Side 51 �O , Side Street Rear �- O , 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 --------------7---------------------------------------------------------------------------------------------------------- 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 [1 Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: 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 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. X Page 4 of 5 9 u x 0 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:Uxrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 CDF FIRE SAFE REQUIREMENTS AP _Qa4.gPERMIT# 03 3NAME: J$4xi;4A 7— Under authority of FARC 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 that exceed these. standards. Field inspections for compliance will be made by the Butte County Building Department. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (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] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. 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] 2. 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. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 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. AP # Fuel Modification 1276.01 CDF FIRE SAFE REQUREMENTS PERMIT # 04 - NAME: Setback for Structure Defensible Space [ ] 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. ( 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves I an 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - 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_: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer, Metal Other Butte county Fire Department approved materials 11/2904 Steven J. Fowler Date Signature I r 5v J am. �/ 51 0 T$el [ T CGIUM'y EC F`4 County of Butte DEVELOPMENI Oroville, California SERVICES GENERAL CLAIM CLAIMANT: Wendy Hardt ADDRESS: 6781 Ishi Drive CITY & STATE: Magalia, CA 95954 DATE OF CLAIM: 11/19/04 ��FiCK;?iri lc�{�flrn D �r1e Canee� SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 066-420-008 Permit No.: 04:2601 S PAID RETAINED I REFUND Development Services $ 1,179.66 $ 825.58 $ 354.08 THERM DRNG $ - $ - $ - SMIP $ $ $ SHR $ $ - $ - SRA $ 204.98 $ 204.98 TOTAL $ 1,384.64 $ 1,030.56 $ 354.08 ............ ....................................... ............ ............................................................ .... ............... ....................... gREAI>:DOWN::::::::::::::: .............. ................... %;8:UC7C:r�::::::CCOU:NT .... ........ ............. .............. ............. : AlV1:OUN:T:: 101001 DVLPMNT SVC 440-001 4210500 $ 354.08 1011822 THERM DRNG 1800 280 $ 1011430 SM1P 1001 280 $ 1011811 SHR 1800 280 $ 101001 SRA 0100 4617240 $ F—T TOTAL $ 354.08 $ 354.08 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been claim is true and correct as stated. Mdw1 i `�'�/� Dated this ir: day of _, 2004, at ° , ai4 t/ delivered, and that this F9 AIZX of Claimant G I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above hav been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one�leFtu same. Dated thisEAb day o/C . 206t Oroville Cali . Department Head or Authorized Deputy Dept. SEE Exp. V Code BREAKDOWN Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY r PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services www.buttecountv.netldds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 1.1. / 19./2004 Wendy Hardt 6781 Ishi Drive Magalia, CA 95954 RE: Permit No. 04-2601 APN#066-420-008 Owner: same On 9/3/2004, a deposit was made in the amount of $1,384.64, of which $1030.56. was retained. The remaining flies will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $354.08. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen , OA III Administrative Division enclosure 04-2601.1tr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Wendy Hardt ADDRESS: 6781 Ishi Drive CITY & STATE: Magalia, CA 95954 DATE OF CLAIM: 11/19/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 066-420-008 Permit No.: 04-2601 PAID RETAINED REFUND Development Services $ 1,179.66 $ 825.58 $ 354.08 THERM DRNG $ - $ - $ - SMIP $ $ $ SHR $ $ $ SRA $ 204.98 $ 204.98 TOTAL $ 1,384.64 $ 1,030.56 $ 354.08 ............ ............................................ ............ �° ............................................................ ......................................................... ..... .t>......jO......:::::::::::.....1DC: .............. °I ::::: ............. .. CCOC�:iVT: ............. .............. ............. ;::A1\1:QlJNT:: ]01001 DVLPMNT SVCaao-001 4210500 $ 354.08 1011822 THERM DRNG 1800 280 $ 1011430 SMTP 1001 280 $ 1011811 SHR 1800 280 $ 101001 SRA 0100 4617240 $ TOTAL 1 $ 354.08 $ 354.08 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. MANT: Wendy Hardt LESS: 6781 Ishi Drive 8 STATE: Magalia, CA 95954 E OF CLAIM: 10/05/04 APN: 066-420-008 NUMBER: DATE: ISSUED TO: CHECK M AMOUNT: PERMIT #: tREFUNDS: VERIFIED 412183 09/03/2004 Wendy Hardl 1093 $1384.64 04-2601 Yes :: :.: ::: > X DETAIL I PAID I RETAIN BLDG rime 1109.981 1179.66 ILDING TOTAL APPROVAL Date Reviewed Michael Vieira Building Manager 1179.661 824.97 BLDG' -0010 140-00 10500 101001 THRM DRNO 0 HRM DRN 280 1011822 UD SUSP 1001 (SMTP) 28.0- - 1011430 1800 HER DEV FE0#7 (SHR) 280 .Y ;.1011811n ::::::::::::::::::::::::: ::::::::::::::::: ':::::•::! :::::::::::::::::::::::::::::: :::::::: ;•::::•: :: :.: ::: > 0.00 173.74 125.96'::1?::i: 109.98 0.00 -54.99 354.69 0.00:: - - 0.00::::::•:: $ 1,384.64 I $ 1,029.95 I $ 354.69 I $ 354.69 I $ CHECK: $354.69 A1 004 DIFFERENCE: $0.00 t A A . (Should be blank) f7% �1 �UTrF Butte County Departmeri o Building Division l oz . o 7 County Center Drive I c0U N'�y Oroville, CA 95965 REFUND REQUES" REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the, the receipt issued for the fees paid. Any refund cher 2. The request must be made within two years from the da! years from the date of permit issuance for permits issue 3. Filing fees and plan check fees for work plans checked 4. Fees paid to other County Departments are not covered b this craim- INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for payment processinq. CLAIMANT'S NAME; MAILING ADDRESS. .: r PHONE: (YF 7-a,h) g.:'%�,_��2°� RECEIPT DATE: RECEIPT AMOUNT: REASON.FOR REFUN h -Of ®l - ®ice• • ii011 '-' n n Check those fees which you wish to have considered for refund: Building Permit Fees �heriff Fees Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Reauest for Refund. If you want the plans, you may pick them up prior to that time. gnature Date K:/Forms/Refund plication 082203 94 faa (� a35-9 -51 tA); Ild� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 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 OF APPLICATION qq3 .) a "PLEASE PRINT CLEARLY'"* 6CO.61 CONTRACTOR OWNER Name Mq w - lrs, Address St e CityC�t E-mail Phone 6-77-01,07 Fax E-mail Lic. # -X Z9 Cla i CONTRACTOR Name. c Name Address ( ("",s f_-6 -- f3ex"C K- DQ City Address St e CityC�t E-mail Phone 6-77-01,07 Fax E-mail Lic. # -X Z9 Cla NAME ARCHITECT/ENGINEER Name leS S Address n 4e e. r ! D CityC�t E-mail State Zi Fax ��/__ Phone �( 463 '7 E-mail FlUar-c-e-&-sy" State Licensee Number NAME Name Address City State Zip Phone Fax E-mail For office use onl Zoning RT Flood Zone X. SRA es " No Occ. Type Const. Subdivision Name Map Book Page 717— Lot #Planner Planner Date Approved: PERMIT NO. BPo{,76o I BIN #A4, Name AGENCY 3"n or Scope of Work: I�StF/tacB) Cov PoA c4o-s ❑ 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. OVER FOR SUBMITTAL REQUIREMEN 15 LL K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: +C:1 1 Receipt #: 1- 121 g3 Date: 9.3 , 04. Amount Bldg Zo4.98 SRA Sheriff SMTP Other 3104.4,+ -Total REV 7-27-04 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 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 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the pe it. Additional items may be required after Plan Check and Planning review (May require additional plan revjww upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance . nd ' pla approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Fores kam val equired). ❑ 4..NPDES Form. 'y ❑ 5. Encroachment Permit for driveway from the - b ' ks fpk (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name , Ciqcn). El7. Worker's Compensation Carrier and Policy Number.118. 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). If you have questions or would like additional information regarding this process, contact a Permit Application 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 neiunds 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 KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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: 4 AQ C>'r ASSESSOR PARCEL NUMBER Proposed Building Use: '(Sr Counter Technician: le�l 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. . 2. Complete p1and 4)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 engineer. ❑ 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 ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ , 22. City of Chico Plumbing permit .................... a 23. California Department of Forest ry plan approval Vpaid. Sent by: . q':3 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. O 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license -information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... C131. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 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. $ (2' 38. Other: LC -7- EP r2r- r2eIef ,v^L- dF Ma4-. ❑ 39. Other: f When issued Telephone X72 • 41B9:1and hold for pickup. I have been iraformefof the above items and je'#'irements for obtaining a building permit. Applicant: l/Nwf/V /7 U/ i Yc(AIL4 I 1. Index permit application for, tllie above items numbered: 2. Additional items required V Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: Yellow: Building Division t/Nor V Plan Check L tter Date: Date: Date Date: $illirag-Fees for Wendy Hardt Project Vieira, Mike From: Nancy Springer [NSpringer@WILLDAN.com] Sent: Monday, October 11, 2004 8:26 AM To: Vieira, Mike Cc: Tiffany Piper; Isaac Kuster Subject: Billing -Fees for Wendy Hardt Project Mike, You asked me for the total fees owed on the Hardt project. Butte County number: 04-2601 Willdan Number 14353-1140 Page 1 of 1 We performed a structural and architectural review. The plans were approvable and in the process of being marked up for final.approval, when they were recalled/cancelled. Our fee is $660.60 Thanks Mike, let me know if I can be of further assistance. Nancy Nancy J. Springer Senior Plans Examiner Willdan-Building & Safety Services 117 C Street, Marysville, Ca 95901 530-749-2373/Fax 530-749-2199 10/1.1/2004 0 Q0N I d' O Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM SUBJECT 1 QDATE: WILLDAN �VTrE' 0OU N �y Scott Rutherford (530) 538-7160 srutherford(d�buttecounty. net Plans Transmittal For Review Per Contract 9/7/2004 Applicant: Hardt, Wendy Permit 04-2601 Project Type: NSF/Cov. Porch APN: 066-420-008 100% 70% Plan Check Fees $ 943.72 $ 660.60 $ 943.72 $ 660.60 WILLDAN Fee $ 660.60 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 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER Q_C>% Gcv �o� PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........ $ 1179. �S --- Revised Plan Checking Fee.... $ _✓ 2. SCHOOL DISTRICT FEES _TL -Aro t S E (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A.P. # ,044, . 4Z?zD •dog DATE moi' • 3 a4 RECEIPT # DATE REC. (paid at Building Division) Residential (per trait)..... 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) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $99.00 (paid at Building Division) 2-oq-. q S 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 :S" i P 4 7'9 �o 412183 9.3 • a,p- At time of permit a'ppl ationA was advised the above fee are required to be paid prior to issuance of the permit. These fees maybe changed g the the o ess. APPLICANT77 DAlffl5ell Pursuant to Government Code SeU66020, 66020, 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 the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET BUILDING DIVISION DEPOSIT # 286 BAG # 329 PERMIT# RECEIPT# ACCOUNT # F-10 ACCOUNT # (SRA) 0100 ACCOUNT # AVA COURT (SHR) 1800 F-10 ACCOUNT # ACCOUNT# (CUA) 1800 (SMTP) 1001 ACCOUNT# (COPIES) 0010 BP042572 412164 $ 714.87 $ 95.00 $ 305.01 $ 11.73 BP04212 412172 $ 281.22 $ 12.87 BP04212 412172 $ 274.95 $ 0.96 BP04258 412173 $ 3,606.58 $ 95.00 $ 305.01 $ 20.08 BP04258 412174 $ 150.00 $ 0.24 BP04258 412175 $ 274.95 042586 1412176 $ 55.00 BP04258 412177 $ 879.84 $ 3.67 BP04259 412178 $ 55.00 BP04185 412179 $ 1,215.04 $ 9.67 AG042591412180 $ 109.98 BP04259 412181 $ 3,410.71 $ 95.00 $ 305.01 $ 19.29 BP04259 412182 $ 109.98 ........................ 032713 412349 $ 54.99 BP042587 412350 $ 137.50 BP04258 412351 $ 55.00 042593 412352 $ 3,797.63 $ 95.00 $ 305.01 $ 23.72 BP04259 412353 $ 55.00 BP04259 412354 $ 55.00 BP04259 412355 $ 1,524.94 BP04259 412356 $ 55.00 BP04259 412357 $ 219.96 BP04260 412358 $ 549.90 $ 18,932.68 $ 475.00 $ 1,220.04 1 $ Is - $ 102.23 $ - GRAND TOTAL TO BE DEPOSITED MONEY COLLECTED: ;0:9MO.Q COMPILED BY: auditor:yellow DIANE LEWELLEN extn 6869 DATE JANICE LEE DESIGN SUITE 15 676 EAST FIRST AVENUE CHICO CA 95926 PHONE & FAX: 530-892-1937 8/26/04 TO WHOM IT MAY CONCERN: I WOULD LIKE TO REQUEST THAT THESE BUILDING PLANS WOULD NOT BE SENT TO LP2A IN SACRAMENTO FOR PLAN CHECK SERVICES. THANK YOU FOR HONORING MY REQUEST. SINCERELY JANICE LEE } NOTES A RESIDENTIAL PERMIT NO_ yZ0'O!i 8 Dy uOdl 1v3;c1 CUU /-?0"// II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J'= OK 0 = Not OK . = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3.Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements-Setbacks-Easements 5. 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location-Test-Fall-C/0-Concrete Electric 4. Water; Location-Test-Easement Needed (Sketch) Date POOLS (Plans) OK except #'s 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 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. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 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 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 57. 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 S-1 Date FINAL (Plans) OK except #'s 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 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter 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. 80. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House 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 11.5 Outlet 40. Attic Access & Platform if Furnace in Attic Date 96. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 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 -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card 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. Duct 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 (F.F.I.)-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 Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 B-1 Date Card B-1 Date Card B-1 Comments at Final: y r PERMIT NO. 4115-78B PERMIT EXPIRES192?617:7 ;'OWNER _ WALTER SEROWICK I CONTR. Mari -John Const. LOCATION (A.P. 66-42-8 ) X25 Ishi Dr, lot 8, Indian Meadows Sub,'Magalia t r r C d 7 y� C)fi Temp. Power Pole Called PG&E Tegyp. Elec. Serv. ' Called PG&E Te p. Gas Serv. — Called PG&E x INALEDi_ (D � e� �L�1�:2�g (Signature) -COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU!PI BUILDING (Cont'd) PLUMBING Setback ' Firewall Forms Stucco Parapets Main BIdgK Mesh Restroom Finish Footings Windows Stemwal I Sidin Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Stemwal l Garage Vents Insulation Slab Carport Footings Prov. for phsically handicapped Conformance of ex. structure Slab Final Patio F Reinf. Steel Bond Beam Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Pipinc Sewer Fixtures Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch J Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0.7-14'a half Ids all4X FA17� LfCAl // 411--41 IM s,yN 0111'2" (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS C 7 County Center Drive - broville; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti fled property for inspection purposes. l X Date' Signature of Permitee or Agent Receipt No. 9" G�� 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By Date 7—,'J,— Iding permit expires Date 7 BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION .1_S_7 v Mai I ing Address f ' r v 1, Telephone No. Contractor `lvLG•L; Mai I i ng Address �� , 7 S�1 Fireplace'- Total Valuation Telephone No. ) 3-11 a S' Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 121, 0 0 � oa PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. y y ^ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Few W -6.a lon I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Declaration Parcel Ma P 60' R/W ImprovementsEach additional outlet .30 Building sewer 5.00 ��Plans Bldg. Plans Recd Parcel Approval Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ R I V j I1: ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP 00V OR LESS 5.00 Single Family Duplex ❑ Mobil Home [J Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST V ADWECCLBLDGSCCUP. 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �=c a �7,f R NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 6 NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 6 L@25' Ex. Occup. (OUTLETSP(RESID.)REA) 2.00 ` Temporary service 10.00 Mobile Home Facilities 15.00 � �/+ License Na�x ,, Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Is - MECHANICAL No. @ FEE MECHANICAL WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this Flermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby land Development Fee $ TOTAL PERMIT FEE $ 7 702 authorize representatives of the County of Butte to enter upon the above -menti fled property for inspection purposes. l X Date' Signature of Permitee or Agent Receipt No. 9" G�� 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By Date 7—,'J,— Iding permit expires Date 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLI- WORKS 7 County Center Drive — ,.•Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X: f,• . ii' f:. Date 7 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR•OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor ire ✓t-;+- <�,,... !�'(T—•,�. ,t• Mailing Address �'�; �/ •7 ;� y Fireplace Total Valuation � Telephone No. �n - .f (� S• Permit Fee Building Address�- Plan Checking Fee&/or Penalty Permit Fee $ ?.(/,c`0 $ �,_To PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees' W'C.afil5n n 4Y' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Map Parcel Ma ' R/W T60' m improvements Each additional outlet .30 Building sewer 5.00 ' Bldg. Plans Recd Parcel A proval Plans Approval Lawn sprinkler system 2.00 p y NEW Q ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single F Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 - Main service OVER 25.00 100 AMPP O OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST. ( DWELLING OC cup- S 22 sq It OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, •of the State of California Business & Professions Code under the name style of: � --�'_ �) y ;-'��i ; • �(' /t .; ( r1_1 It NEW CONSTR. (MULTI -OUTLET NON.RESID. ` BRANCH CIRCUITS 12.50ea • NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES I6 L Ex. Occup. FIXED TS (RESAPPLNS. OR p•�OUT LETS (RESID.) EA 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 / License Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL . No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. yf'1 1 certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X: f,• . ii' f:. Date 7 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR•OF PUBLIC WORKS By Building permit expires Date Date ul 4 evil yo Itlp Pire- &,I 0,94S Pp- V- t-tTs TA ts r c c Yp Lei I OF"' Proper T/ Vlo ' 1 e;�in R. �'✓drkMO �.iin c�jrs�J Be .',p l%'�'�G' i f'il! �,•..I. �`-. ,,n rt:•...,�rii-,nr��i�.pY'.�'fl,''.f�'S Gli1T7 IFV useI in 'tWe I j i t I ; . ! S { r rye,, . " , Codes a 'd ' \.; y C ^ ,1 �.IY.(7-+!;( i�.'Ic hUniGtl� q llnifc r;, ;.'�::__ �''. I;'ai .0 !1c G' ✓�} th•iafi;o'nr1 t �t� �c cde. , c e P 1e + ! i 1,:� " r 1% j Qv '� ! :bf Il i.5 -•il.C� g1�4ci�.ic'IOnS �USY'.` b0 It e '.I' „• .5.,'I: t �.�=Illi I?ilC�. 1 13 Ulla\Y{=JI 10 ' W11�lOU, i � 1' L' 1 ��l ia.ii•if"�t:i�:ii•��l}i" � •�� 0.� .. 1 F �� t � . :: i,' r�ilil t:�� �De}�4r±tmerii i of P1�'b1iC ' ���: GI't;5, l,OUii.f A_f siJ1tL�• i 11 1 j. � 4 1 i i � y I i i ` i j !• i 1 j i 1s c'Itiot't'_ ter, be, as,der �., ' ' -Dept. Ike t� i I'Lil'�:?11is.1' p. 1• i t I I �! j I � ., i j I � , • L3 U"� -i !` COUNTY: I JARTMl N „••� I !... � � •. , t jF ._' � t ;�:� _ •E `ay �3 I :,.� -:f j ;,i. {' Z�• .l.` '�'I -t r� ._ ,i ( r.' ' � ' it } r t �, .t ; _,• t- ( { • r'- .15�,- F• ei'S'�•T ).. �'G i}�'` ... '�� ." -i'y .{ ?�.� •�'�. i� ,'7 ~ '#' N(. e,�, •f +.: •�J t "� �• �: ateiials 4r�Cma ship j Shall Be n ��, ! i -, •J'+ Ail'P1 t :=it # ► .f; . �j h NCtiTEs-;- Ithdeco t, ^gid ' P�acfic�s' 'ar d . S j ',. ► I ,J ( , i b� ! Acicordfity rest i f e `SRjecr,, use, in t e { , (- I- 1 _}f�e�f �fo� i I' �'. r s, 1 i ; of a q' Rfumbilig & IIMac anica� add + ,. f ► ; ' ! ( �i` ' �j �'' U�iformi Build' Ig, I f he �latio �l {�lectrrcal Code., ! + I j. ► ; r - ' j — i atians MUT be! I ! ' I I ! i 'I 4ii, hf I This set of plans {and �pecifi�c , , �— T f j' \: ce t on 'the job t �'I tim, s and it is' 'unlawful fo! + �` _ { { t _ char esr alterations do s�me wEithoul;, t _ -� I `• 1 _ ; �; r Tidkc'9 , + ermisson fzu..., 'm tL Departmekt' of Publk; wrttten p t W rks, Founi^y ofi ! 7hC; t i ,, , b•c�t !� r}� �,o r�. 1f -.j i i• I i _ Sin n j ' e t ( I t { t. 71 • , , C6f,,,E C tc� ryT. I t,.' �h@ — + 1 rl:ut:� c:f u 2 if. E' •~ou ,t� r'r,hiriii,t out of all 'easern o + er>��oentirlyi- 1 I' Cor�rnty Wept h ` b� as i �r•' t '}t 1 ! .L ' . rrerf)ents. Pt. E a _ E , i ' ` 11 1 E • ,i` .. j ,. _ 1 '� it r I -71V 61��G MPA TM. W . PPR �..:•..�.. �s.,�_.-......er......w_.�ir....:1�►.,r sa3i �3�%.. :...{.L.ai�l.i ..an_OSt meas:a,.,s�.^%- ...�..`.a:`e.i���.Z+rK:i._. �:w,..ii;!'r �.+ \�i.,.�:s���.��da�A -�3s: �:J�'�..}''....,'�iie..: t.6er,•a►.ri.:aL'.0 �at:,l/k: .:`..+: ' S. :iw ... �`_ ff CEEEiiwD NO.. 146A-11X17 o a s v� v} 9.1 n �� 's (v 4. C� O rijC`� W 4 o a s v� v} 9.1 n �� 's i 4 I� 9I1 �.a,9kl[II6'di11id1 ®II ' f F Department of Development Services Building Division 7 County Center Drive ° -= r' o orovi le, CA 95965 (530) 538-7541 (530) 538-2140 FAX X011N.�,l-° HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23-11-B-1. Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3): and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater; risers shall be T' max and treads 11min. The dimension difference between the smallest and largest tread run or 6spr height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-1/2 1.1,a• 3-,2 • lux m -Mat 1 -12Min. 4- Max. �il Intermediate rails 4" Max, spacing shall prevent 1.12" The passage of a 4" 3-12 - 36" Min. diameter sphere. . V e 2-12 4" Max. HANDRAILS Top of t -12' Atin Top of Deck 4' Max. Joist W Handrail Anchor stair ® height 34"-38" stringers to the ® 4-- s•Min. Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and 9'Min screws, lags, M.B. Min. clear width (—� Girder at stairs shall Pier posts greater than 3 feet in height 6'Max be 36" need to be diagonally Post braced between Min. 2 - 1/2" posts. An approved post cap connection or dia. thru connect girder & post with 1/2" plywd bolts required gussets & 3 - 16d nails top & bottom 4 - 16d nails or an approved 3 - 2 x 12 ® Min. 2x pressure post base a Min. Stringers -' treated sill plate connection � , � If using i precast piers, dlMin, embedment wet set 12 X 12 footing Attach •�--- stringer to �MWWIIRALL 11 Department of Development Services Building Division 7 County Center Drive oroville, CA 95965 (530) 538-75.41 (530) 538-2140 FAX. GUARDRAIL DETAIL HANDOUT .- Y f V ®_'r Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better P.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) Top of Deck V77773 177 4' ! Max - SIDE VIEW 4" Max. 36" Min. Min. 2x pressure treated ledger Min. 2 - 3/8" x -F -W' lag bolts or screws. —� TYPICAL LEDGER If the deck/porch is 30" or greater above the finish grade a guardrail is required. Pier posts greater than 3 feet in height need to be diagonally braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. Top of 3/4" clearartce a• Max. Joist to the edge of -- the wood member joist Min. 2 - 1/2" dia. thru bolts required \ GUARDRAIL Girder 7iPost + + ------------- 12" x 12" Footing TYPICAL PIER FOOTING Guardrail 1997 UBC -xis An approved post cap connection or connect girder and post with 1/2" plywd gussett and 3 - 16d nails top & bottom W'Min. embedment I Department of De-velopment Services Building Division 7 County Center Drive oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. HANDRAIL DETAIL HANDOUT ' Nailing shall comply with Table 23-I1-13-1. Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) : and minimum i 2" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater; risers shall be T' max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3.12 1.114 • 3-112 - Mai t -12' Min. 4"M=. Intermediate rails / 4" Max. spacing shall prevent the passage of a 4' 3-12 diameter sphere. t_va- 36" Min. �U— 4' Max. HANDRAILS Top of �- t •t2' i.';,n. Top of 4' Max. �y Joist Deck � Handrail Anchor stair ® height 34"-38" stringers to the 4'- s"M,n. g ® Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and 9"Min screws, lags. M.B. Min. clear width Girder at stairs shall Mer posts greater6'Max be 36" than 3 feet in height 11' need to be diagonally POST braced between Min. 2- 1/2" posts. An approved post cap connection or dia. thru connect girder & post with 1/2' plywd bolts required gusseti & 3 - 16d nails top & bottom / 4 - 16d nails or an approved post base connection If using Precast piers. wet set „ 3-2x1 81v11n. Stringers i n , 12 X 12 tooting 1% Min. embedment Attach stringer to Min. 2x pressure treated sill plate A Pp�qo A" fall TIG PLYWOOD CV, EYT- FRMU& CLIP= "M -g. 12" 1Itz STRI '2'x 1'1' PIPS -TOP \1 It vIt %%Ika 5110M.M, UAKITI. DE&M G '(ALT .3/j, ma A4, (n' [D) F '92. , cannoL _.re 4-h re, ctj .Vla' TAG PM801) CC EV.• MOBILE {MME ov. VE zm 4W. MTL. F Ij I 1 all, EA. TM m TitTF0 .2"m IV zo z 2144's P,RE.15URE, TRrA'r_rP Rl PI DOLTS RFDWOODr ATA' I)ErYl M G I. yq '`"y �21�'DEP'�H A i. & PRECAST POST igulbMAL --PIER AMMM .6r4ps 'emplopDrex r BOUNTY OF BUTTE DN9loelylvN 77V 7 county center Orlys IS L b, 0 &p x ' "dr _ o� 4 14 l 36d3(� .;. f4t,.h OiV `o oS A _L co�rc Approved plans and permit shall be on site for all inspections NOTE: Property owner is responsible for determining the locations of property lines and easements, and maintaining required setbacks from property lines and easements. A survey may be required if determined necessary by the Building Official NOTE SITE CONDITIONS ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING MITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS: • EXCESSIVE SLOPES • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS PLANNIN/G� DI ISION - BUILDING PLA APPROVAL Use: Date: It Parking: Landscaping: Other -.- 4 A--tKI--- LANDING AT EXTERIOR DOORS SHALL COMPLY WITH CBC SECTIONS 1003.3 & 1003.3.1.7 �TaG� UNTy F3 ,�h 1 4 A A VISION 'AP V 22 sqX �s w/Ass fay P,t� z4j�- /P41-1�?. Q Q \1 M b l6"s�x8''QP PC(, C45 Yp • I I lwr 1O aiN a Iadt1, ♦ ".. _ -.�_� - - _. _. .. *f��N b d$m$ 10)MU, wcwl t.6 K16 �., *1 �4=10 _._._ 2.6d 4. WOO than 1' x 6' IU %m w 1$2 mm) MIWWa a cacti►aM, (ace wl 3.36 S 2" l31 mal as1b1Y1or a 10w a $wdr, Mild asd (ace wl 2.16d 6. SOIL plat N ia'w' ablackw& (yp"lux ped 166 Y I ll' (406 am) O.C. 1 3-!bd pK 16' 1406 swm► 7. Top plat a rad, cad Iwl 2.1 1 S4ud n oak plat 4-I►d wMal of 2.16& tad awil 9 Double swdc, laic ,aid 16d Y N• (610 mm) ac. 10 Doubled lap pipe► IYpcud late nail ^- 16d Y 16' "a ons) Oz. Double top plaits, lap W'4cc i I I block" boom jam qac nilpa to ap ph". wenrl 3-Ld 12. Ria 00 r pop plat. IOtya,l 6dY 6' (132 mac) O.c. 13 Top prm, lap ad is nacuooc. two axil r W/ l°ef yY 21[L Goh GovZQ -O . Of ce""�t` 2x6 �acJ a mad; ^5r j1/�F'ta Deck k /_D MAIERIALS LUUM • 2X & 4X Nemberw • n•F, ,Y2. 6X41> •D.F.01 ALL 6 X -& 8 X BMS.;I POSTS TO BE F. 0. H. C, CLULAMS • Std. Speo's • Glu Lara Tlmber,AITC • 117, Fb r UW psi, STANDARD CAMBER (U.N,O.) @ R" PLAN, 24F•V4 .0 SIMPLE SPA: 24F -VO ® CANTILEVER CONDITIONS PLYWOOD • APA U-6- Product SW. PSI 1-$3 CONNECTORS . Simp000 Strcal . 71* Noted (or equal) A. & M. BOLTS • ASTM A307, Udiaitbod STRUCP. STEEL • ASTN A38, U.N.O. CONCRETE • Ult: Cmnpr. Stivogtb Cc r 2500 psi ® 28 days REIMORCING • ASWI A616, Grade 40 ALLOW. SOLI, BE"W; PRESSURE • 150(0 pef Assessor's Parcel Number. OQ © © - W 0 Q - 0 F2] ® Scale: la = S= Owner Name W �r f Address / Phone No. Site Location f- S '�� 1¢��0 1 s S� L�oL l"v/s ��r,�, • ,2 6' fr�ee, Contac# Name Soo �` �--t��soc/ Phone z" C-111-1 -.�-C-5111 ofaLr. 2%XC3t ;lP ,-Ars y C4 TABLE 234tib1--NAlLW0 f3CKEDULE Ci>t.iwttsowu _ 111n.aso I lwr 1O aiN a Iadt1, ♦ ".. _ -.�_� - - _. _. .. 1J6 --^-2-11d b d$m$ 10)MU, wcwl t.6 K16 �., 3 1" a 6' (2$ as a I S2 4m) WMlor or ka r cacti Tula, face nail _._._ 2.6d 4. WOO than 1' x 6' IU %m w 1$2 mm) MIWWa a cacti►aM, (ace wl 3.36 S 2" l31 mal as1b1Y1or a 10w a $wdr, Mild asd (ace wl 2.16d 6. SOIL plat N ia'w' ablackw& (yp"lux ped 166 Y I ll' (406 am) O.C. Sok plait 10 jam ofbloc(„, r bread awes pwada 3-!bd pK 16' 1406 swm► 7. Top plat a rad, cad Iwl 2.1 1 S4ud n oak plat 4-I►d wMal of 2.16& tad awil 9 Double swdc, laic ,aid 16d Y N• (610 mm) ac. 10 Doubled lap pipe► IYpcud late nail ^- 16d Y 16' "a ons) Oz. Double top plaits, lap W'4cc 416d I I block" boom jam qac nilpa to ap ph". wenrl 3-Ld 12. Ria 00 r pop plat. IOtya,l 6dY 6' (132 mac) O.c. 13 Top prm, lap ad is nacuooc. two axil 2.16d 11. C0111m80611 bcada. Iwo puca 16d a 16'(406 mm) cit. tall adpa 15 Ctlbn( imus b plat. He!"d r 3-M la. Camawalw how" b alad_ weawil 4-8d 17 ' Cud'Cedialt OWL lap OKI paaa.olu. (ace mad 3.16d 1 a Cahsq law a pwrkl Piss, face pail )-lid 19. Ra/w r plat, "c"d 344 m 1' (21 M) llaacc r tachl awl will Flow fan Will 24d 11. I' a r 123 me a 203 umal a4a"a law r each bca+aw, facia wl 2-6d 22. Wider dla I' it 8'(33 lam a 203 awl aticaltim f to each baila{. (aa owl 3-U 23. Bib -4 oaar cauda 16d Y 24.(610 wlal►Oa 24, Bwibwp pada mW bangs 20d a 32' 1913 M) O.C. a 10p will b0aaa W w11190"ad 2.204 Y cepa will K aacb tpist 23. r (31 tan) pi"s 2.164 Y OKli 26. Thad res- , pmek land S1 MIM and pall sAt1Yw$ (a flwmlllL►: '1 ' (12.T wlml o W peas Iles or 60 w •1' (22 am -23 %0) so IOdw OI 114'.(29 ar-•32 M) ComMamiOa wubOta.011detgylnr IsO fraalaL►. �y 2li (11aam)Ydlrss so 71r'-1' 432 mw1.23'blal) IO da OI ill! 1 /� -1'1i (2i "r►Jl ami 21. ►Yel wi/Yy (16 kwm agh: 60 'y (11.7 nim) a lays 8116 Ih' (16 qm) 36. ftibw- - ' *mainf: 4j (117 Ml !Iw Il SLI io Ne. 1680 »Ju (mmml , � tits 11!!a! N' 161L t6 29. falai0r $aatbl't ,w ~il 'Ji (6.4 mal - 1J� (13 M) wNwila paw11 Y 6 intw (1321 MI ae oma r adP16 12 inches 1305 mal w6 lwaKaladiae a o" wasp 6 mobs (152 mm) rIN Ilpaaa 4$ halon (1211 may a mop FW aitiy O( WOW Irepels- pad ud plddA d 6iwpbiogm a" 86Mra0a. mfr as batiaaa 231 3 W 2113A, NwLw Owe Ina abawadM 1M7 W wrIMIOR i0a aw prig 1Cewlaa a edaala6 sot: ot:, wCaNnn11. )E*kn 1 d cbanti• wCamsiOa+wwr aaliaL a.eWf wWw t1la10MUft0Ila naw pwmwm at 5116114111123f11,3. 1Furawan wpecwd 3 iaaba {2� aim► a purr a sam6w 011ila and 6 ach" (1321na11 a OINK r iawwedne 6CosaaaiKs•seaiYam awliq ar,Yle pis 7(N-iw4rlwaw u 1 M2 Md w 11 w Nm) Mw/M (a 4riwe►( 2.7 M► sharbq w 111,I.iq /M M 3 lea flh 1« byrawk 430 away aharhia�oonlawlm� c01ht aMiw�wOlw N fattiow 22013. �p�pya. laapka wry,p, aurae d 11riwcb (li M) ww rd 141-iadl t2p aa) Wy111 k! 4riath (1 L7 M) MaYrwt rM 1 bYiweb W raU Iwy kr %al�r+ac aa) LIQ"& Ow me) 120 ia6 e w n=ag if Uaa d ll" ill)06.3. '�aar wwpplala r 10 illtllm ya06 a1m11]0 iactia 1301 swa0 if c'10'4'b suds m 111111 lap{ wbwwlian 0100 pwawL wwfw aaharlm wwwlbw63 frflla M frit► weile u 1p� `ncU lie Nlchn 1V IO�mm1 Cwa6 a A.A wh gwaw6 6 mAew (1 P1'w1 rl0wf• 12 iw &m (3W mal K iaawwlaMra rIPOI ...., .,-,....,,.•......�.Hwy...a-a,e.,�.--•:,..._......._. _.-..,e. ... V-af* I t f a� 2x iZc� • S' qX 6 i op A.:/ c I %Ck2. a3� �� K 2x6 sl�l a/.E �tXy R4JL90Q past �C6 �cJa Ox y /-10 s,'�, soh �?G . Y Y TL,o (,✓/ ��� � � p� to -a• �y 5%»,psoti T Of Aro- 4:6'st' %?t E f- FOR OFFJCE USE ONLY Zoning: General Plan Desig: Size$ Acres a 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: f