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068-360-138
NOTES' �j)=_ ' LLj RE..IDENTIAL PERMIT NO. _ 063-360-1.3,: �T 'i 05.0735— �/ ORIA, 17ER Ar Nfl&_ /� ��/ �� ��� ./ lei/(_./ I q 2��_IIII.:DALL- AVE, OROVILLE �R _ 1 4 Cont: OWTv El �-� / / r� t NEW SINGLP. FAMILY / y �t�`�J S !sem ' / � �– '� �'� ` � I � i OFFICE COPY {j17 ' Address GAS Meter By Date a ELECTRIC Meter By Date SPECIAL CONDITIONS - CHECKED ' BYf_l SRA AL ._''FLOOD CERTIFICATE REQ. -,FIRE SPRINKLERS REO. f SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER -H 4 _ OWN. f OFFICE COPY Add r ss % GAS ,y Meter By V Y Date3(�Q ELECTRIC { //��f� Meter By Date3(w `JOB FINALED (D) 3 —30-0(6 .: Signature J = OKJ_..;_ 0 = Not OK . Not Readyable MISCELLANEOUS r'! f y MOBILE HOMES Date MOBILE HOME UTILITIES (Plans)"OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH SupporLSketch j 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) ? 8. 5. Electricity; Location -Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 11. 7. Well Clearance & Disconnect Braced Wall Panels 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,. # 'i N• MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES. (Plans) OK except #'s r 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 j 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 r _ 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date MOBILE HOME INSTALLATION (Plans) OK except #'s 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit r 9. 1. Zoning Requirements -Setbacks -Easements 10. Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 12. Date,, Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date' POOLS (Plans) OK except #'s' - ` 4. Electricity; MH Test -Crossovers -Breakers -Clearances ; 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector �� 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval �I Dead Men -Lining - 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI 9.: Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts GFI 10. Exits; Insp.-Sketch 6. "Flet.; Enclosures; Conduit Entries Terminals Listed 11. Cert. of Occupancy - 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater j 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit r 9. Health Department Approval Date PERMANENT END SYSTEM (ONLY) 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche ?" 12. Enclosure; Fencing -Alarms ,Card Date. B-1 Date _ Card B-1 Date 8. *Gas and Electricity Tagged 9. Exits Card B-1 Date Card B-1 10. -License Decals 11. Verify #'s with C Date Card B-1• Date Card B-1 Date Card B-1 Date. Card B-1 e1 .. } .,es. w -•� - .._ter. rr •ice.-».t.,r.. • .....z:�ea ,n.w-..ygvs." �eki.-...�y.f'''.'it"•'f"'+� �ilt'7'�"'t�,'�'">^-.�.,+:•" {,,y -..j-{..- . r .- `< 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"IWater; MH Test r 7. Water and Sewer Connected r , 8. *Gas and Electricity Tagged 9. Exits k ! 10. -License Decals 11. Verify #'s with C Date Card B-1• Date Card B-1 Date Card B-1 Date. Card B-1 e1 .. } .,es. w -•� - .._ter. rr •ice.-».t.,r.. • .....z:�ea ,n.w-..ygvs." �eki.-...�y.f'''.'it"•'f"'+� �ilt'7'�"'t�,'�'">^-.�.,+:•" {,,y -..j-{..- . r .- `< J=OK 0 = NotOK Applicable - =Not Applicable RESIDENTIAL (Single & Duplex) . = Not Ready Date15 Card B-1 St< Date Card B-1 Datek Card B S- Date Card B-1 Date PLUM G (Permit) OK except #'s atwtr.; Vent -Access -Combustion Air Baffle TYW.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 22,00lllas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date_fd,JCQ _OCard B-1 Date and B-1 Date Card B-1 Date Card B-1 Date ELE CAL (Permit) OK except #'s ix e & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors ze oxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. ?e -Mu ip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 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 O Yes ❑ No 32. Se %e -Riser Conductors & Ground Main Disconnect 33.ui . Clearances Panels-Motors-Mech. Equip. K. hes Closet Light -Shower Light -Spa Light 3 Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s A . Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Permit) OK except #'s Sill roper Materials & Anchors 4 fs Studs -Nailing Spacing & Braces Plates Sound 4 aring Walls over Girders & Floor Nailing Stop in Walls (rat :proof) r tops, Furred Ceilings -Stairs -Chasers -Tubs -� eaders & Beams -Size & Bearing r� Date FRANBNG (Continued) 4$7,Aing. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Fir a Ties or Type A Flue -Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5 Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings . 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date UND FLOOR (Plans) OK except #'s Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ni ng -Setbacks -Easements -Flood -Slope on Roof Overhang -Attic Vents -Rafter Outriggers g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth , Siding -Nailing Veneer Ftg., Garage; Soils-Steel-Elec. Grnd.-/t, Z-/" Ftg. Del3th 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth VA temwalls, Main; Steel- Bloc kouts-Wrapped Shear Walls; N Og-8 s /5`temwalls, Garage; Steel-Blockouts-Wrapped W. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped osted P' s -Fire lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O- Test UL, 10. UF, Gas Pipe; Size Anchor and Gas Pipin • ' e Test 11. Water Pipe; Test -Anchors or -Service Test 12. Electric Underground g-�S OSders ums & Ducts; Clearance -Material -Support -Ins. Sills Anchor Bolts Joists -Vents -Cripples Access & Ventilation 16. Insulation Date15 Card B-1 St< Date Card B-1 Datek Card B S- Date Card B-1 Date PLUM G (Permit) OK except #'s atwtr.; Vent -Access -Combustion Air Baffle TYW.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 22,00lllas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date_fd,JCQ _OCard B-1 Date and B-1 Date Card B-1 Date Card B-1 Date ELE CAL (Permit) OK except #'s ix e & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors ze oxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. ?e -Mu ip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 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 O Yes ❑ No 32. Se %e -Riser Conductors & Ground Main Disconnect 33.ui . Clearances Panels-Motors-Mech. Equip. K. hes Closet Light -Shower Light -Spa Light 3 Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s A . Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Permit) OK except #'s Sill roper Materials & Anchors 4 fs Studs -Nailing Spacing & Braces Plates Sound 4 aring Walls over Girders & Floor Nailing Stop in Walls (rat :proof) r tops, Furred Ceilings -Stairs -Chasers -Tubs -� eaders & Beams -Size & Bearing r� Date FRANBNG (Continued) 4$7,Aing. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Fir a Ties or Type A Flue -Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5 Windows or Exiting Doors -Sill Ht. & Dimensions arage 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 56lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58 Sjpeclo Mesh -Drip Screed -Fd. Vents-Underflr. Access ej�zing Area -Glass rotection-Skylights-Plastic 7� Shear Walls; N Og-8 s 1/1 q' 61. Bracer/Extg06r Wall Panels _ Date ` Card B-1 --Date Card B-1 Date ff / K Card 6-1Date Card Date FIN tans) OK except #'s 66!S Detector I urnace V -'clearance -Comb, Air -Connector- 4 Ir,J a oe; Above Floor-Ducts-Mech. Protection 67—Bedroom Exiting 6 . .. & h Fi Access 69a rim & Sub I, Breaker. es & L 3 CiMI&Tairs Fireplace r Stove, CI nce-He 72—Etac Outlets ood Panel, Int. & Ext 7 it. Fix ppliance; Ground- - ap-Cooking C rance '+! 74.tlets Rece s at it. Counter arage Fi oor; S ' g -L i - o in a - 7V/VVtr. Htr.; Vents-Clearance-CcoAf Air Connecto in Garage; Above Floor-Mech. Protection 8. .; Elec. & Mech. Equip. Listed for cation ,�C ec. Receptacles in Garage -Romex Protection sulation-Foam-Looked irti,&Ac- 8 and Rails & Deck Constructl=-F'15st Caps _ Clearance Looked undpooFloor R..Y.--§ 83. F_v rowing Instld./Drive es O No/Walks P Yes o/Planters O Yes Wo 12 ,T SJ,ncco Brown -Finish A.0 Unit Disconnect, Ele _ cal -Plumbing 86!Ve is Above Roof, PlbgAppliance-Firep%eEClearance to Openings Water Well, Disconnect, EI I, Plumbing E erior Elec. Trim, G.F.. eceptacle-Underground 8 . Ventilation Throughout House 90. ass Protection 9 erections from Previous Inspections jaaest-Meters gged, Gas-Electq at ewer Connected- o Grade -HD Approval nergy Compli ate -Other Certificates osted 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: s. CERTIFICATION OF INSULATION ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS Joy 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 �� (/ �, ❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 �^ I \ j I ,g L jt�V , r� ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 3 - z -a6 DATE INSULATION COMPLETED o, \nip ( square feet) ( Z Z S� square feet) ( square feet) TYPE OF INSULATION TYPE.OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS • FIBERGLASS FIBERGLASS FORM BATTS FORM BATTS & BLOW FORM BA17S MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER eD OCF KN CT OCF KN CT OCF KN BAGS R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SOUAREFOOT INSTALLED THICKNESS io KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS IS, TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS a ' SIGN TA1R - INSULATIONO T T , ^ V TI E (kkVl DAT QVC /6 SIGNATURE - GENERAL CONTRACTOR TITLE DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50738 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/10/2005 APN: 068-360-138-000 the Business and Professions Code, and my license is in full force and effect license Class : License Number: Site Address: 4267 HILDALE AVE ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION 2340 NSF I hereby affirm under penalty of perjury that I am exempt from the Description: ( ) GAR (704 ) COV (112 ) Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure,. prior Owner: SORIA, FERNANDO to its issuance, also requires the applicant for such permit to file a PO BOX 708 signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA 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 95968-0708 she is exempt therefrom and the basis for the alleged exemption. Any (530)693-0553 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): J2� 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 Applicant: SORIA, FERNANDO Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 708 such work himself or herself or through his or her own employees, PALERMO, CA provided that such improvements are not intended or offered for 95968-0708 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)693-0553 proving that he or she did not build or improve for the purpose of sale.). ❑ .I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Dater --W -(950wner. WORKERS' COMPENSATION DECLARATION License #: 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 Architect: is issued. El have and will maintain workers' compensation insurance, as Engineer: 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 Total Square Ft: 3156 S.F. Policy#: Valuation: $170,788.00 Census Code: l I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensationlaws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I /� forthwith comply with those provisions. Date: �© Applicant: GS , S 0 -f a 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 This permit is her issued Undbr tbe2pplic ble'provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work iCated a ve for wh h s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) L lit •—/(� ^ G Name: By: - / Date: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. b Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: OS 1 cJ -6 1 a Signature: Date: 10-- (9 J ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 S 3/lS /h 1—,- 0 li BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 �p OFFICE #: (530) 538-7541 rr((JJ A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds /a• 1 "PLEASE PRINT CLEARLY" uj w APPLICANT SIGNATURE X d For office use only: OWNER Last NameFirst .q - Name d Address fo pwX 705, f city TA 1e 16 M d State State CA t Zip g596 S Phone 6-73 o553 Fax Fax E-mail Lic. # APPLICANT SIGNATURE X d For office use only: CONTRACTOR Name - Address i (A Y C. t I City $oX 7o3 State Zip Phone State Fax E-mail ` t f e Lic. # Class APPLICANT SIGNATURE X d For office use only: ARCHITECT/ENGINEER Name - No i (A Y C. t I Address $oX 7o3 A V P City Lot # State Zip Phone ` t f e to l r Phone S33 _ 2 131 Fax- oqo E-mail State License Number APPLICANT SIGNATURE X d For office use only: Zoning I 1j, Q/ I Flood Zone I X I APPLICANT NAME Name No Occ. Address fo $oX 7o3 City �Ot1 ei Lot # State Col( Zip q51& ey Phone aq 3 0553 Fax E-mail APPLICANT SIGNATURE X d For office use only: Zoning I 1j, Q/ I Flood Zone I X I SRA I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 65. ej-73R LOCATION AP# 068— 3 too— 35s Property Address .2to i L P AL -e— {. City 0Y0Viw Cross Street DkP Le Ave 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 permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: 3 1a+ %Aotage v i lo ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received : Amount:��l� ' ' Bldg SRA Receipt #: ! Sheriff Date: �, I a-\ 1 b� SMIP REV 2-24-05 otal SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4,sets; signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans,�3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst., (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 r Butte County Department of Development Services3TtF YVONNE CHRISTOPHER, DIRECTOR oo o —1� o 7 County Center Drive o =`" o Oroville, CA 95965 M (530) 538.7601 Telephone CSU N'�y (530) 538.7785 Facsimile CD TO: WILLDAN r FROM: Scott Rutherford ' (530) 538-7160 L ob snitherford(ftuttecountv.net SUBJECT: Plans Transmittal For Review'Per Contract ' DATE: 3/22/2005 Applicant: Soria, Fernando Permit No: 05-0738 Project Type: NSF/Gar/Cov APN: 068=360-13.8 100% 70% Plan Check Fees $ 1,246.06 - $ 872.24 $' 1,246.06 $ 872.24 WILLDAN Fee $ 872.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation' Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: - ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician:4c� Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordQj10 apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ,1111 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Re wining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... e 0 19. Erosion Control Plan Required....................................................................... /f6DFees as shown on the attached Schedule of Fees Due Sheet .............................. 1�" 1. City of Chico Plumbing permit....................................................................... ❑ 22. Site plan and business license approval from the Cty of Biggs. ... ... .......... fa23olifornia Department of Forestry plan approval �paid. Sent - �/ Sanning approval for (A) Use: A")Parking: (C) Parcel Chentact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. 47 `Incroachment Permit for driveway from the Public Works Dept ........................... ❑ l�Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... fir 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... 0 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: aq . U '� When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: F<-( Y14! Y10) 4 56 r q �.�; ZS!� Date: 3 -02 - 0-5- 1. S 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer owner was advised of the above data by phone, ❑mail, counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: ��'/ ` L Structural reviewed by: Date: Structural approved by: Date: Note transfer by:_ 7cQ'Y� Date: Yellow: Building Division n E.H. USE ONLY Shot Plan Anechad a/ Roos glen Attached Sent to 8.0. / o^ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Priya Well Clearance for ✓ dwelling. Other���? v!:E /Q 7�T/4 - G g[ i G Hold final for: ' Final clearance O.K. for: NOTE: aL Z� —A ,cam Environmental Health 8/96 ialist Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # I X PROP SED BUILDING USE DATE -3- OR 1: BUILDING PERMIT FEES --- Balance Due ..................... $ �� �X: 1 • �j 1 --- Additional Fees Due........... $ RECEIPT # D;TTEE REC. --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) ' V SHERIFF FEES (paid at Building Divisio Residential............ X Commercial (sq. ftg.),I.... ' X $0.03 = $ S Ft 4. ,(paid at Building Division) Residential (per unit)..... 60 d — $ Q 6-9a, , # Units Amt. Commercial (Sq. Ftg.).... X = $ 1 Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES )�' ` {CJ" / ""C�S F (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 ANID PLAN CHECK tEE --689:411(paid.at Building Division) '+01i 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X v $ Zone # Units Amt. Commercial (sq. ftg.) ......... X I _ $ Sq. Ftg. Amt. 1/ 10. OTHER l A 0`/ )L7 ` At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. I APPLICANT } eQ JQ S6 "c 'P DATE ' 1 -® S' Pursuant to Government Code Section 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 t 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) QPSTMZNT °��v °-- T 7-F j .0 1� o o AUC W°FS Department of Public Works ..0 o u n t y o f B u t t e J. Michael Crump, Director 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 ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE] ' Project Description: )A0 5 c,LS tat - .... � _...... Project Location and/or Parcel Number: NIL_ p A E 0CnSf—G0 �3g j.. � All f ,' By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I 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:klYha�ndb 5ox�a Title: o I,v \ g, Date: `? Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 ' l,:: v:...:..._ 1e......f :... .. .: !.. Y e , I ER: l 2IL EIS, -1 'M L ;N • e. ...,.. i_i -c.n _�.. r a;�:.'m:c:.,z;+n....K. *.w.__. � .�Al"Z...»:r •r:.� .. ss ,_.::_, �,a'. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your ' signature. c Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. - 1. -I personally plan to provide the major labor and material for construction of this proposed property improvement: YES[ i/] NO[ ]. 2. I HAVE [ ] HAVE NOT [ x ] signed an application for a building permit for the proposed work. 3. I •have contracted with the following person (firm) to provide the proposed construction:- NAME: , ADDRESS: 4. PHONE: CONTRACTOR'S •LICENSE NO: r 4. I plan to provide portions of the work, but I' have hired the following person to coordinate, supervise, and provide the major work: , :•, f r ,y f o f • NAME: f ADDRESS: PHONE:. CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons.to provide the work indicated: NAME • ADDRESS-.*. PHONE TYPE OF WORK f SIGNED: PROPERTY OWNER: F;eY n a )I do . 50 fill-, DATE: 4 S NOTE: This Owner -Builder verification is required by Section 19831 -and 19832 of the California Health and -Safety Code. _ This verification must be completed and returned to our office before we are permitted to issue the permit. Rev -d 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building pen -nit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Micyael C. Vieir4 C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. N AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20105-001 8592 Recorded Official Records CoBnt yEf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:58PM 04 -Apr -2005 REC FEE 7.00 I COPIES 2.00 1 1 I ,1. Kathy I Page I of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural .purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm i operations. All that real property situate in the County of Butte, State of California, described as follows: 3Go-13'9 L.o� 1 ..�5. Sho•uh tS�m.i ceo.'.h paYc�� N.�Q 1:`ed th +he oFF:c.� oe coYde� +- e- c o v t\{y o f d U � -t� S f e o.\'% £o Y h',%, oh � ey'r v vs, \ - kcRk 1. Q oo `°�( a Mo. P S o, + Q �.g eRS. 50 0.1� '�j k Date 2) - 9-q ' 8 5 PROPERTY OWNERS: State of California ) County of On CI- Px va ti- zays before e n I T74- int t �.l PSl �rN S , bC personally appeared 50X4.4 FLO 12G�S per_ ^m^ * (or proved to me on the basis of satisfactory evidence) to be the person whose name) Ware subscribed to the within instrument and acknowledged to me that he/slimy executed the same in his/h4FAhtir authorized capacity(), and that by his/hertdT& signature on the instrument, the person( or the entity upon behalf of which the person acted, executed the instrument. / WITNESS , h nd.a fficial.sea1.. e JUDITH M. WILLIAMS� QCOMNt # 1344684 Signature ' Seal: t7 NOTARY PUBLIC-CALIFORNIAp �BUTTE COUNTY 0 JO COMM. EXP. MARCH 23, 2006 J A.P. # Butte County Department of Developnent Serwces ° %,T r ° 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile c004 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division ,to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from. other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: v I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtainer e I am responsible for notifying Developmefit Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building Warts to the Buildink Division. Once the plans examination process begins, there will be no refund of plans examination. fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required perm. its/clear Iances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well. as zoning requirements, legal access, and applicable set -backs and. environmental issues (fire, agriculture buffer zones, and habitat/species). - Please print: Applicant Name: G o r.'o, APN: Building site address: H I L.. 6 !t Z i l�VF Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application`and my signature below: SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BidgPermitwithoutClearances 020705 .. W I LLDAN Serving Public Agenci.es May .19, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 1 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1485 Jurisdiction Job No: -05-0738 Assessor's Parcel No: 068-360-138 Description: Soria - NSF/Gar/Cov Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies sheets 1 and 2 dated 01/14/05, sheet 3 dated 01/16/05, sheet 4 not dated, sheets 5, 6 and 7 dated 01/15/05 by Fernando and Jamie Soria (owners). ➢ Structural Calculations: Two (2) copies dated 0,3/1.0/05 by Jim Pursell, P.E. ➢ Truss Calculations: Two (2) copies dated*03/16/05 by Endeavor Homes. ➢ Energy Calculations: Two (2) copies, dated 03/14/05, by Barry Rubanof£ The plans have been stamped with the. Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. 0 WILLies Serving Publ,DA�N APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC' • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information, regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit documentation. Specific Type of Type of V Floor Total Sprinklers Stories Use Occu anc Construction Ft S Ft — --Dwellin F2nFloor R-3 V -N No 1 2,340NA 2,340 Garage U-1 V -N No 1 704 NA 704 Porch R-3 V -N No 1 112 NA 112 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2.' Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sinc , saac Kuste Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Fernando Soria, P.O. Box 708, Palermo, CA 95968 Jim'Pursell, Fax: (530) 534-0902 Page 2 of 2 Ricardo GQITian, S.E. Plan Check Engineer County of Butte Permit Number 05-0738 Willdan Project Number 14353-1485 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.htmi NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit N er District 1 C . — APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information exce t signature must be typed or legibly rinted. 1. Applicant's Name: , �Yp la. Co n a g 6 2. Address: a;.QD L 1 Cd L � X, 0 V% If e. ' 3. Phone:4. C53o _ v 53 Assessor's Parcel Number: 0 _ 1 5. Location of Work to be Done u y 11, H ve O - ea Q 6. Applicant's Signature 7. Date: o5 - CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: El Gutter: 11 Sidewalk: ❑ 17If Driveway List T e: . 1 Q C' it r 1V ew ok y 18. Other Work - Describe: 19. Plans Attached: U-Vres ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ranted. 20. Conditions n Underground Service Ale S.A. must be notified two working days prior to any excavation. 80Z-27-2600/ 21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 22. Date Issued 23. Expiration Date: 24. Surety: 25. Date Paid: 26. Amount Paid: 27. Paid By: eceipt No.: Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: O ete - ete — ❑ Additions omments Attached U,, Oniy: _ 31. Comments: Note: if permits are taxed to any number besides (530) 5384356, they can be delayed up to one week. Page I of 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This pernit is to be on job at all times while the work is being done. 2. All work shag be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shag leave the County Hghway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County Highway and to Immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shag, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fig or badkfig in the construction of the encroachment shag be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shag be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shag be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shag assume fug responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or.which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. Ag excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shag not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shag be place and mechanically compacted in such a manner that the relative compaction throughout the entire fig within the County road right of way shag conform to the percentage of compaction as stated below. Permittee shag notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shag be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (950/6) as determined by the above testing method. Permittee shag bear all costs and. responsibility for compaction tests. a The relative eompadion from a plane free feet (51 below the finish surface grade to said finish surface grad shag be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shag bear all costs and responsibility for compaction tests. 'Material for use as trench backfill in any existing or proposed roadway section shag be sand, shag be place in 8' ails, and be compacted to a relative compaction of not less than 950%. Material for use as backfill in roadside gutter excavations shag be the native material and be compacted to a relative compaction of not less than 9D%. Any pavement cutting shag be scored, or saw cut before trenching. Minimum depth of cover over all underground facifities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shag be placed as dose to the right-of-way One as possible. No portion of the backfill(s) shag be compacted by ponding or jetting. Ag pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shag be restored immediately upon back iging orthe excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. Ag surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shag be replaced within ONE WEEK following the baddi fog of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing; and no less than two inches (21 of asphalt concrete over eight Inches (8' of aggregate base, acoording to current California State Specifications. �. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The impure safety and convenience of the traveling public shag be given every consideration in the location and We of construction. Permittee shall mouse to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the 3eneral public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shag notify contactor as to the ;pedal conditions and requirements contained herein. Page 2 of 2' BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER. RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA ECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number s) . �l ��• ' Building Permit Number ! 3 (� Property Owner (s) Project Location /Address Subdivision Name N Assessable Sq. Ftge C9sq:� Typ of Residential Development (check one) New Development .Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential -to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor. Department Demo Permit (date issued ) verified by Building Department Comments: ( ' Building Department RepreWAftfive Date _. 1 i ❑ FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant NamePhone Narr&r �g a rL� Comae C'� �v D o Y 4' z Mailing Address City State Zip Has complied with requirements,of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ : per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash: \05(A• U� Receipt No: Ma ((9U and Park District KAFORMS\BUILDING FORMS\park-rec standard form rev Ldoc BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM —r / (One form per Building) %� T School District �/ ► t_Jif I (Jt, L.-� 'C P7---' Building Department No. A.P. Number �i�C){��"'' Jurisdiction: City County Property Owner tia k`d ] Property Location/Address Subdivision Lot No. Residential Development © Q Q Q 54• Footage oy No of Living Mobile Home Addition/ Supplemental to (Group R) 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/Industrial Q Q Sq. Footage New A Addition (Including Exterior Roofed Areas) 6-- Kii-dirig Department Representative Date District Identification No. 0 `{'1 C� r�J,lie � e r" School District certifies that �� Y h ( —r\, -L v J �/ (Applicant) (Street Address) (Phone Number) .r�Y-,) (city) has complied with the requirements of Resolution No: representing a square feet. •. (State) (Zip Code) by payment of $ $ a- -+� - to 0 2926 $ FULL MITIGATION $ School District Repreientative Date Paid by Check # , Remarks: o to Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance wtth Government Cods Section 66020(a), within 90 days from the date hes aro paid. Failure to submit a timely written protest wlll'prohlbit you from chalWVing the Imposition of the hes In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Fom% the School District Is nottfled by the eq*leabls Local Planning Agency that this project Is being revbvmd under the California Environmental Quality Act (CEQA), this project may be subject to additional school has to fully mitigate. Its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teefonm.xhs (10/03)dmm Butte County Department of Development. Services o�UTt�o YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive00 ° o Oroville, CA 95965 (530) 538-7601 Telephone (► �- y (530)538-7785 Facsimile OUN� ADMINISTRATION * BUILDING.'* GIS * PLANNING May 26, 2005 Fernando Soria , P.O. Box 708 ' Palermo, CA 95968 Subject: Building Permit 05-0738 (APN: 068-360-138); New Single. Family Dear Mr. Soria: The Butte County Department of Development Services, Planning Division, has reviewed the submitted application. The location of residential dwellings has been determined by the map that created the property. The home sites cannot be closer than two hundred and thirty feet from the. center/line of Olive Highway. Please see the condition below: • 2) Area within 230 fee of the centerline of Olive Highway is area within which no residential dwellings are.. to be located unless increased noise insulation, design standards or construction features. are approved by the Planning and Building Departments to reduce noise levels below 60 db -as pert he policies of the Butte County General Plan Noise Element. Your homesite must be located in accordance with the approved map. Please adjust and resubmit your site plan.to the Department of Development Services, Planning Division. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. , Sin T,ely, ephen Streeter Planning Manager I ■m _ rWu sa•�szE ca>3_oE.oi.cns - `�' _\ �\�E�iv av N V Y b N, VGv Q h `R �f,`Vhp�VQ �ko6q�`v rWu sa•�szE ca>3_oE.oi.cns - `�' _\ �\�E�iv av N V Y b N. VGv ae I s D N 2� i W \ 0 ti- Q -0 Jw-/ N C S 9/Y/3C9f1lOS/SOY � � �``. Fva /N.OE,EO.OUS 4 M.p ocl` p4v O ahv aiC,v 1Y "Jh0 �y O;y 34 a °pD4 J �v h Y' ' OQeO` V 3P 4 e WZ�We� &� �u W Z h �' w ygQQa 66w OV CFK4 w�2�o a3gp� p V W4240 N� � WvQee.vah Q �o��oh 2 W OZp:A� N m Q � N o C� �4 j�y�1��o2Q p�vh�tuIRI c opa v°y y Fitt A%a28 P SITE PLAN .RE1VIEW APPLICATION � G J Date: t� li(, �� aP# Permit Number (if applicable) O 7 Bin Number, 7 APPLICANT INFORMATION Parcel Size:. Owners Name:��� Owners Address: Telephone No.: �A 9 Situs Address: 1 t l 7 �� / 1� &e,(q,4 �i-FzrGj/C� Proposed Use: Residential _ r New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) Temporary Travel -Trailer ❑ Multi -family ! Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel - r Other - Septic ❑ Well ❑ Agricultural Exempt Building, ❑ Agricultural Buffer. Form ❑ Applicable ❑ N/A ❑ Other: . Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved- ❑ Conditionally. Approved ' ❑ Resolve Problems Prior to Approval 4 Site Plan Stamped Approved i By Date 6 7 dS Pate 1 of.5 ALL ITEMS CHECKED APPLY TO THE PROPERTY e Parcel Is In: Snow Load Area: Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) 0 Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) 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: —1p 1—ba Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � " Side 30" Side Street Rear Yo Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development. Fees: Standard Fees Amount Formula ❑ Fire ❑ School* , ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage + . ❑ NCSP/CSA 87 ❑ Chico Urban Area-- Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other. Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement i ❑ North Oroville'Area ' ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By '❑ Deeds: Date of Creation: Legal Access Provided: ❑ No❑Yes Deed of Reference: Legal Access Required ❑ No. ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County. Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements - ------------------------------------------------------ 1 Page 3 of 5- .: Subdivision Map/Parcel Mme: Map Date of Recording: iG 1 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 121 Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized 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. 0 Page 4of5 SITE PLAN REVIEW APPLICATION Date: ox / 05y AN Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: . Owners Name: Owners Address: Telephone No.: ^ d� Situs Address: Proposed Use: Residential ❑ New Single Family Residential ; r Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) " ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ' ❑ Commercial Addition ❑ Commercial Remodel New Industrial ❑ Industrial Addition ❑ Industrial Remodel Otlier Septic ❑ Well ❑ Agricultural Exempt Building ' ❑ Other: Brief Explanation (if necessary): ' DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan' Stamped Approved ���� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑❑ 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), /4nj SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Y Flood Zone: _ x • Flood Panel No.: Q(e�p %C 0 JiIndex Date:MaL'❑ Sacramento River Reclamation District (Approval must be obtained from ta 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/Mulbeny (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El minor variance El variance El Administrative Permit ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement 6D2 Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front oZ0 , Side , 301 Side Street 301 Rear Jr , Height 30 ' Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. i Applicable Development Fees: 4'_ Standard Fees Amount - Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees •---------- ----- . -----~ _--` .----------- ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other per map) * Check with school district to verify actual fee if pre -application review." A final determination will be made afthe time of the building permit- ermit Parcel Parcel Created By, , ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required. ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No .❑ Yes, Road Name: " Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel. ❑ Verify Legal Access []Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot -Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements _ " N Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: /-�- I Page,_�F ❑ Use Permit(Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision lVlapfUse 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 roa so This information provided in this summary is based on .the application information and on the best_available data at the time of review. cmarryssuilding Permit Site Plan Pcviewl.doc a Nin s, jy4 v " S.'J'fl2t Ca>3.ot.o�.Gns �-� (.7J /6626 /11.N.S .R�/✓ �1 d V �QVQ�Q lb" C All h� ato -15 ��� •tiEo6^�-•-• Mall, .gra L�p h �h�H Fo WA hill IN, Z a+ •4r. dti ocv 4 d �co Wo YC zt LG• Q �•3 �' Nva°• � as W$S� G Fe He l V a� w w ZI tN CST �D ZZ QV bh � ° ° a • � Q lJ' Y,° iaak U 0 7 `N ggOeff��.`e5".�Hb (Jj�i�4�9Z'i I VOw� I I � a o > Q _ Z b C � � ISTJIi (O/3, Ey,PoN — KN � VV VV �1 d V �QVQ�Q lb" C All h� ato -15 ��� •tiEo6^�-•-• Mall, .gra L�p h �h�H Fo WA hill IN, Z a+ •4r. dti ocv 4 d �co Wo YC zt LG• Q �•3 �' Nva°• � as W$S� G Fe He l V a� w w ZI tN CST �D ZZ QV bh � ° ° a • � Q lJ' Y,° iaak U 0 7 `N ggOeff��.`e5".�Hb (Jj�i�4�9Z'i Ahr,FS : !) 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BOX 9S6 GROVILLP., CAL. 9i96S SITE PLAN _...... .. .. ... .. .. ............ .. ............ .. .........- : . .:t . .... ....... ............ :...;....:......:.....:......:....:. :....:.. __ ....... .. ...................................... ... ......................._ .. ... .. .. _ .. .. .. .. .. .. .. .. .. .. .. -. .. .. .. ... .... ............ ............. .. .......................................\ L }� .. ... �t q: .`i — *78 •. '� i rc _1�' _ i � . I 9w_ (()�ii � UN ff11 A• i . +}f • �. � ijL. :L ....... . .. .. .. ... .. .K. K........ ................................_ 1 l .. ._ _ •� l .:.. ..:.. ..:. c c i Da sr— ,g cSt. r s� .. .. .. .......... . .. ............. ......... . .. .. C . . . . . . . . 1fh� .. P. 6 {� : ry^ _ '...: .:.. ..;.. �[ � Kyr•. +. �f• ..... y . . _. .. ..• .. __ .• Vic- X .. _' .. .. .. .. ... _ .. ... .•__ I 1qlh _. le{ .: .. ._ _. .............. .................. 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'r 1 PIS .. i �0 _ o• 5 :\ .. �.J t. — �.GE� .. _: 4 .. ............ .. .. .. ...............Q .. ... .... .. ... .. ...... .. ._ .. .. .. .. .. .. ........ .. ............. ......._.ll . .................. t� _ �. ...... ............. .......................... .................... ..................... ........ ...... .:. ...... ..... ...... ... .... .. ............. ................................. ............ * ...... I..... ............. ::......_....._............ .................. _....................... ...... _.................... _..... _.. [ .. y17-- ....... .................... .. N n 5 u-' O Assessors Parcel Number:ale: 1" T TF„ FOR OFFICE USE ONLY PROVIDE FOR ALL Owner Name !Ee-y w -so SON � (X m Address / Phone No. Site Location DE LL �V Contact:. Names Phone `� :Z(R 19 . [ rt omee„• az; . Zoning: ADJACENT PARCELS General Plan Desig: SIZE (AC):ZONING: Size, Acres 3--Y9 •R ar es GEN PLAN: a.00- USES: