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Home My WebLink About068-400-001COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17,County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541; PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0/_ !(�-,/ U ASSESSOR PARCEL NUMBER WINNOW [�lot� W-346-023 ZONING " A BUILDING PERMIT OWNER aaftet ada[ 11 NAT T t4WOLN TELEPHONES SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -' - " _ _ . ayONE 55060 CONTRACTOR'S NAME malamar Cont SM -4-55-6442 I TELEPH CONTRACTORS MAILING ADDRESS aaw CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BL:DvG Mi OROV= Energy Pian Checking Fee $ $ PERMIT FEE $ LOINKI. L SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE I SF Q[ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [a Installation ❑ Other ❑ Describe Work: TW em Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Vwill do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation It/of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly with those provisions. X � Da �/� 40 Signature of Applicant - ❑Owner ❑Contractor iVAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. eLDS. 3.5¢FT. NNjON q�lp, 1, 0.ITS 97,50 APPARATUS a SINGLE OUTLET CIR. 20 ® 1.00 Ex. Occup. OUTLET OR FIXTURES .30 Ex. Occup. OFUTlEDIET3 a LNS oEA. 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20,00 Misc. Wirin 23.00 PERMIT FEE S 34.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAT. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD SUE 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. // /-/ V I By �t I0 pate l% �'V ry/ PERMIT EXPIRES ON It/ !9 hJ/( iZ' / Date Receipt No. 3L314t3 � . •UU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL . r , 6 i 069-460-01)i 03-0404 + v — PERMIT NO —' MAL:AMAR,' " '" *"�` _ `" / OROVILLE tj • � � 3 •ROSEMEL, � I NEW SINGLE FAMILY I ' t - _ s t . •T � M SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER OFFICE COPY JOB FINAL ED(Date)- Signature D(Date) Signature Address GAS Meter By Date RIC ELECTRIC s• Meter By Date��. r JOB FINAL ED(Date)- Signature D(Date) Signature J=OK 0 = Not OK = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P'.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 ft 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 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged s 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 ,Pate 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 4,e Z ning-Setbacks- Easements- Flood -Slope t2' Ftg., Main; Soils-Elec. Grnd.-//`j" Ftg. Depth g:-Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r1L 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 W-11W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date? : p "J -Card B-1 /; fj.� Date Card B-1 Date B-1 Date Card B-1 Date PLUMMING (Permit) OK except #'s Yater Htr.; Vent -Access -Combustion Air Baffle Vyater Pipe; Test & Anchor -Nail Protection W. -DAMN.; Test Fittinas & Anchor -Nail Protection First Floor -Tub Access "st Tub & Shower, Second Floor -Tub Access 2. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fi ure & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors Si Boxes & No. of Conductors Stapled R Installed Close to Edge of Studs & C.J. E round made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI Sub ed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al j1pdtated Neutral 0 Yes ❑ No Service -Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 3 I es Closet Light -Shower Light -Spa Light 08"Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH L (Permit) OK except #'s . A. ucts Insulation & Support Vent Fan, Exhaust above insulation Copdensate Drain & Overflow, Size & Grade Fu a -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 FRAM 1NG (Permit) OK except #'s 41- Sills roper Materials & Anchors �tuds-Nailing Spacing & Braces -Plates -Sound he bear• g Walls over Girders & Floor Nailing Stop in Walls (rat proof) Fir tops, Furred Ceilings -Stairs -Chasers -Tubs Ae"Headers & Beams -Size & Bearing Date FRAM ntinued) gers-Post Caps -Anchors -Connectors %B -Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. .49--F re3tta a Throat Clearance L59 --Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Pr -Bdrm. Windows or Exiting Doors -Sill Ht. & Di59signs 4 G52-lZirage Fire Protection Framina-RC Chan W4"-" WW. -Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits & tom; Width -Headroom -Rise -Run -Landing -Fire Protection L56 -'Plywood on Roof Overhanq-Attic Vents -Rafter Outriqaers Val-. St co Mesh -Drip Screed -Fd. Vents-Underflr. Access S,lazing Area -Glass Protection -Skylights -Plastic W. Shear Walls; Naili 061. Brace Interior/ terior Wall Panel 62. Insulatio a ngs 63. Infiltration -Walls -Windows Date p3 Card B-1 Date Card B-1 1 Date Card B-1 e • - Date Card B-1 Date FIN (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings Sm Detector --mace Vents -clearance -Comb, Air -Connector - I rage; Above Floor-Ducts-Mech. Protection Beqraorn Exiting 8 F.I Bath Fixtures & Tub Access -Spa ec. Trim & Subpanel, Breaker Sizes & Labels ails _ ]2_.Cf6� Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 0: ec. QuUets & Receptacles at Kit. Counter rase Fire Door; Swing -Landing -Closure .C. Duct in Garaqe-Damper &r- O tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in 9. e; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location rec. Receptacles in Garage (F.F.I.)-Romex Protection (aDe-trt�ulation-Foam-Looked in Attic 8, c onstruction-Post Caps oor Drainage & Wood -Earth _ Clearance Looked under loor O Yes 83. Followinq In Id./Drive es 0 No/Walk& No/Planters 0 Yes g� -- LS&"*A.C. Unit Disconnect, Electrical -Plumbing Above Roof, Pibg-Appliance-Fireplace-Clearance to Opening& ere , isconnect, Electrical, Plumbing ZA_-C-sfferior Elec. Trim, G.F.I. Receptacle -Underground elation Throughout House Protection orrec s from Previous Inspections as Te eters Tagged, Gas -Electric G ater & Sewer Connected -C/O to Grade -HD Approval 4 ne ompliance Certificate -Other Certificates ddress Posted Date f�/6/ Card B 1/jg'fj Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ;�rx�:y.wry;a-Ot"'��.,r.�wnao-�.rr,.,.i'i,+.�,y.uyoi-.:..•--�•-y-rt...odc�.a+•+s-'-a-i�..,,y+�'.�w'mrrw-�"t�': `�etk..Y^6-rsc.t.^+� a-" :*cit COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 *,7 County Center Drive • Oroville, CA • (530) 538-7541 ti CORRECTION NOTICE` •c OWNER V PERMIT NO. ' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, �H Date Inspector REV 1 192 "- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2, D - (Rev.1'2/96) APPLICATION AND PERMIT "� ASSESSOR PARCEL NUMBER ZONING AP BUILDING PERMIT OWNER MAT -AMA-R CONST T&WHONE SOQQ. FT. OCC. BUILDING VALUATION 173+ R 93,852.00 . OWNER'S MAILING ADDRESS OWAMNNA, MN 56050510 U 9 180.00 CONTRACTOR'S NAME OWR Gr Qd, a� v)n n 7�6 038 280 3,640.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $106.6 2.00 ARCHITECT OR ENGINEER LICENSE No. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 401 rn BUILDINGADDRESS F T Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7-0056.0 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 1 9 -nn TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i�1 SINGLE FAMILY Gas piping stem 1 - 5 outlets 15.00 15 _no Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I-19-ifing-Fe-el 20.00 V OLESS Main Service 6zo00OA ORR LESS 23.00 V.00 LICENSED CONTRACTOR'S DECLARATION 1 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.�y-OWEPPARATUS License Class Lic. No. i fes;-� 72073i5— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:fin-place Carrier Policy Number (The above sections need not'be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'D. laws of California, and agree that if I should become subject to ther workers' compensation provisions of section 3700 of the Labor Code, I shall ith =1thse provisions. X Date 2,121-0 3 ia Signa ur Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR Sp p OR ADDNS. ( a ACC. BLDS. 3.5aFT.O 8.68 NON-RESIDT MUL 1 UTLET 97.50 B PSINGLE RAOUTLET CIR. Ex. Occup. OUTLET OR FDRURES 20 Q 1.00 BAL @ .50 Ex. Occup. ouTLEEDrsA a=.DEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 121.6$ MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling .00 Hood 6.50 6-50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ co�TM� T L FEE 52%.7$ nI FE ELcompensation This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By*Wt�3� PERMIT EXPIRES ON _1k the applicable provisions Resolutions to do work been paid. ate �� 61K Del Receipt No. 370065 % WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT + H. ' <4 COUNTY OF BUTTE-DEPARTq'E1 97 OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive,,FOroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: `C;Z, YY\ G ` ASSESSOR PARCEL NUMBER e' "� C) d Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR mK ed NA in order to apply. L. Plot plans, 3 or 4 sets, signed,�y 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 `si'gnature on plans AND 2,sets of stamped and signed calculations. 4. Engineered 'truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 0'- Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By N A 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) VC/14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15 Statement of Intent for Non -heated and A/C Buildings ........................................ 6. Sanitation and plot plan approval from the Environmental Health Dep me t in _ (� fe '7. City of Chico Plumbing permit ......... ....... ......�.�.. `................... f 18. California Department of Forestry plan approval L paid. Sent.-by entby�.�.............� '� ❑ 19. Planning approval for (A) Use: 0'(B)Parking:) arce Check- ErContact eck:❑Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 2 .Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... . Letter of Signature authorization.................................................................... 4R67. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. -Manufactured home utility clearance......................................................... . ❑ 29. Existing violations and/or expired permits ............................................ ...... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D $ ❑ 31. Other: When issued Telephone D 6 and hold for VA - OP. .. I have been in orined of the ve items and requirements for tai ng a building per Applicant: Date: 0 �) / 1. Index permit application for the above items numbered: 14 r 2. (f ZQ Z(19 Pla ck Letter 2. Additional items required V�— Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ county, b i Date: Plans reviewed by: Date: • �3 Plans approved by: V\J Date: Structural reviewed by: PH Date: Structural approved by: Date: O• U Note transfer by: 'r(' Date: 5--(– Yellow- -(–Yellow- Rnildino nivicinn OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE �l l C� V -/N G� Y A P # �0� `T (j �� 1 PROPOS BUILDING USE 1. BUILDING PERMIT FEES i (_ Balance Due ....................... $ J Additional Fees Due ................. $ Additional Fees Due $ Revised Plan Checking Fee ..............$ 1 2 'SCHOOL DISTRICT FEES b " L 4 - . (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) - Residential x $360.00 = $ ...................... Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. , Commercial (sq. ft.) ............ x = $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) THERMALITO DRAINAGE DISTRICT FEES .$510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion# ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER DATE a 1 • b RECEIPT # DATE RE . At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed fdgring fie plan chy'clahg process. APPLICANT DATE vC "J I - O � Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner - ' (Rev. 6100) AND WHEN RECORDED MAIL TO: , BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 15 -Apr -2002 2002-0019142 Has not'been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described, herein is adjacent to land or included within an area zoned for agricultural purposes, and residents. of this ,property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established. agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: Lot 01, as shown on that certain map entitled, "Melrose Estates", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 15, 2001, in book 151 of maps, at page (s) 15, 16, and 17. Date JUNE 8, 2001 State of California' . County of BUTTE PROPERTY OWNERS: MALAMAR CONSTRUCTION, INC. , A C NIA CORPORATION ALCOM I. HALL, PRESIDENT On JUNE 8, 2001 before me, PENNY C. ENGLAND, NOTARY PUBLIC personally appeared MALCOM I. HALL personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatum(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my nd and official seal Signature Seal: -� PENNY C. ENGLAND , CornrnWion #1240914 Mfr CPS A.P. # Notary Public Butte County, California My Cwwft" Exp. DEC. 3, 2003 ' PWN REVIEW RESPONSE TRM In order to expedite the review of your ptana� please complete the &Uowiag WAinuation...d febun this form with your re-submittaal. this form is not complete, as to all cof ation items. we will not be able to accept your fie-wbmittal for review. Tba+e must be a va: response to every item requested in our plan comection letter. "By otbefs4' is not considered a valid response. Please indicate yc response to each item aad tha ioation wbere the ➢n6ormation can be fomd an the pWWalcs. --Mui i www A na%"Mcf1 &on now -%*"a. AA-11DIA //A LL �s - qo - o R DATED: I,/d3 �11111f /0 -?7 PLAN CHECK ITEM # RESPONSE BY: RESPONSE BY: LOCATION ON PLANWCALCS: COMMENTS: , PZ,4�,s MP V&i M MZIN # Z V i A t uN5.-L-- COMMENTS: SIPN <7--AL-c:LJ,�rIA�I �Ij(.GS. PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: LOCATION ON PLANSlCALCS: COMMENTS: MP ':Z6tsE- PLAN CHECK ITEM # q RESPONSE BY: J11MICJRS LOCATION ON PLANS/CALCS: COMMENTS: iJ M April 11, 2003 Malamar Construction P.O. Box 1001 Owatonna, MN 56060 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 068-400-001 Building Permit Number: 03-0404 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. / X1, ' esigner and engineer or architect of record must sign the plans. S earwalls have been designated on the plans but no supporting documentation has been /.' / su miffed. Please provide two sets of wet -signed lateral designcalculations and have the se en 'neer or architect of record wet -sign two sets of plans. So e of the braced wall panels shown on the plans do not meet Uniform Building Code req irements for location and do not show conformance with all requirements of the code for specific panels. Alternate braced wall panels must be located on a foundation along the entire length of the braced wall line -plans show the foundation stops at one of the ex nor panels. In addition, a braced wall panel is shown on an exterior wall at the rear po ch where the trusses extend more than six feet beyond a braced wall line. This wall li is not in conformance. The interior braced wall line, running from north to south, is al o not in conformance with the code for the gypsum panel which must be 4 feet on each si e of the wall. This panel is shown off -set, not back to back. All areas which are not in c nformance to the building code will require professional design. chitect or engineer of record is to provide a letter stating that he/she has reviewed the sses for conformance to the building's lateral design If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. 1 of 2 Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner 2 of 2 - f 7 CertainTeedm InsulSafe 4 Builders Statement Fiber Glass Blowing , Insulation Mo'1CA'fnc3_rOic>nfZ4'(-ur4lon ( n 1 Builder (sign). Inspected By (sign if required) Company Name Date Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM _ THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft) Weight per sq. ft of . installed insulation should not be less than: Obs.) Should not be less than: On.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1811 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/. 30 18.0 56 0.485 12 26 15.5 65 0.418 10'1 22 13.1 76 0.353 9 19 11.1 90 0.301 73K 13 7.7 129 0.209 511 111 6.6 151 0.179 43/. THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, 00 NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 ✓) BAGS USED BATTS/ROLLS (✓) CEILINGS t► ICQ WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, 00 NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company 02002 CertainTeed Corporation 11/02 y I -SITE PLAN REVIEW, APPLICATION �. Date: 2— 1 1 (�. `� AN Permit Number (if applicable) APPLICANT INFORMATION r. F Parcel Size ' . , �� 33 Owners Name: Owners Address: P'D. 100 'DWA-TOJJN'A �1 �J Telephone No.. - Situs Address: - ° : p -S �"�.^ �'L ' .. Prouosed Use: 4'' Residential 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. r Multi -family Non-residential y ❑New Commercial ' ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition "" -` ❑ Ind"ustrial' Remodel w -Other septic_' - 1.❑ WellF-1 Agricultural Agricultural Exempt Building ❑ Other: ; Brief Explanation (if necessary):. ~ DO NOT,WRJTE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ' Approved ❑ Conditionally Approved k ❑- Resolve ProblemsPrior to Approval Site Plan' Stamped Approved By Date Page l of 5 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) a SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Cd Index Date: 6' 6— 9 8 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/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: A ` 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 C) Side O Side Street - Rear 12,10 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 T Formula r ❑ Fire i ❑, School* ❑ Parks/Recreation NEI Roads ❑ Sheriff ❑ Drainage Q NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑, Thermalito Urban Area ❑ Other ; r Subdivision Map Special Fees Water Tender `a p .•' - Road Improvement ' ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if -pre -application review. A final determination will be made at the time of the building permit _ . 'Parcel Created'By ❑,;Deeds: .� • 'Date of Creation: - Legal Access Provided:' ❑ No. ❑ Yes Deed of Reference: Legal'Access Required ' ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County -Standards for Deed Creation:❑,NwEl Yes Comments::, 3 • ,, 4 Parcel Deemed to belegal ❑: Verify Legal Parcel. ❑ Verify -Legal Access' []Provide Deed of Creation Obtain a Certificate of Compliance ❑ Obtain a Merger.' * El Obtain a Lot Line Adjustment. y . Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps,Page 23). _ ❑ Construci'road.to:❑.. Meet Parcel size required by zone ' Meet current Environmental Health Department requirements s' ' Page 3 of 5 - JR Subdivision Map/Parcel Map: N -r-, E L.Tz 0 _SS e_!S; Map Date of Recording: Lot: 2--1 q;7— O 1 ❑ Use Permit/Minor Use Permit Permit Number: Book: ) S Page: ) 2—, i -7 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. Page 4 of 5 ' JIM PURSELL Page 1 CIVIL ENGINEER RCE .60924 Date 4/14/03 Job Number'..,.-: 102-10-270 1. Job Name Malamar Lot#1 Rosemel Ct. Assessor Parcel No. 068-400-001 Analysis UBC 1997 Dead Loads Live loads . Roof s Comp 6.0 1/2" plywood 1.5. Framing 5.0 Insulation 1/2" GYP 1.0 2_5 Esse MEs sF 16.0 psf. 16 psf. Quo Wall 10.0 m o W s92a :DStucco No �� 3/8" O.S.B. 1.0 Framing 2.5 F 1/2 gyp 2.5 OF rcpl . Insulation 1.0 17.0 psf. Floor Concrete Slab 50.0 psf. 40 .psf. Lateral loads Wind:. Exposure B P = Ce Cq q.I where C� = 0.62 @ 15 feet Cq =0.3 in/ 0.9 out windward- roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V = 2.5 C. I W / 1.4 R Ca = 0.36, I = 1, R = 5.5 / 4.5 Soil Bearing: 1500 pounds per square foot Friction = 0.35 Lateral bearing = 250 psf/ft. BUTTE COUNTY BUILDING. DEPARTMENT . AFFRV V9, i Malamar Lot 1 / Crane Page 3 Lateral Analysis Improtance Factor I. = 1 Wall OA Wind Seismic Roof: Windward Leeward' q f P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(20)= 0.67 0.3 0. .0.7 0 14.5 11 = 0 P(15)= . 0.62 0.3 0 0.7 0 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(lb) 1.12 x 816 x 16 = 14597 Wall: Windward Leeward q .I P Wall Weight (Soffit included): (Coef.) (Coef.x A + Coef. x A) (@75). . (lbs) (Area)x(Wt.(psf)) = Wt.(lb) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 476 x 17 = 8092 P(25)= 0.72 0.8 0 0.5 0 14.5 1 0 P(20)= 0.67 0.8 0 .0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(lb) P(15)= 0.62 0.8 125 0.5 125 14.5 1 = 1461 R =4.5 W = 22689 P (Total) = 1461 Base Shear (Ib) V= (2.5xCaxIxW)/(1.4xR)=3241 SEISMIC GOVERNS Wall O ` Wind Seismic Roof Weight: Roof: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Pitch = Rise:Run Pitch Factor. P(30)= '0.76 0.3 0 0.7 0 14.5 1 = -0 6 : 12 = 1.12 P(25)= 0.72 0.3 0 0.7 0 14.5 A = 0 P(20)= 0.67 0.3 35 0.7 35 14.5 . 1 = 340 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) P(15)= 0.62 0.3 46 0.7 46 14.5 1 = 414 1.12 x 324 x 16 = 5796 Wall Weight (Soffit included): Wall: Windward Leeward q I P (Area)x(Wt.(psf)) = Wt.(Ib) (Coef.) (Coef.x A + Coef, x A) (@75) (lbs) 452 x 17 = 7684 P(30)= 0.76 0.8 0 0.5 0 14.5 1 ; = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1. _ 0 _ Ca = 0.36 Total Wt.(Ib) P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 R =4.5 W = 134.80 P(15)= 0.62 0.8 32 0.5 .32 14.5 1 = 374 - Base (Total) ° = 1128 :Shearb,P V = (2.5 x Cax I x W)/(1.4 x R) 1926/ SEISMIC GOVERNS 1 Malamar Lot 1 / Crane Page 4 Lateral Analysis Wall O Improtance Factor 1 = 1 E Wind + Seismic Roof: Windward Leeward q I P. Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 A.. = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(20)= 0.67 0.3 "115 0.7 115 14.5 1 = 1117 , P(15)= 0.62 0.3 126. 0.7 138 14.5 1 = 1208 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.12 x 1104 x 16 = 19749 Wall: Windward Leeward q 1 P Wall Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) (Area)x(Wt.(psf)) = Wt.(Ib) P(30)= 0.76 0.8 0' 0.5, 0 14.5 1 = 0 207 x 17 = 3519 P(25)= 0.72 0.8 0 -0.5 0 14.5 . 1 = 0 P(20)= 0.67 0.8 0 0.5 . 0 14.5 1 = 0 Ca = 0.36 'Total Wt.(Ib) 0(15)= 0.62 0.8 116 0.5 104 14.5 1 = 1302 R'= 4.5 . W = 23268 P (Total) =/3627 Base Shear (lb) V = (2.5 X Ca X I x W)/(1.4 X R) = 3324 WIND GOVERNS PAL -L- "X- -------------- ..sO Kp�� £. �. - -- ® A,s '��K (S A P 1 -1 PI p P,- -S -_T �4-z u.L<-) xz 3� z7 /Usk /�1/N- ' r.'t �,� K;�l't'�� -�- �3 _ w� 8� ,OA IZ-S (:!z> Y�U -- ,�-; jo &.R1`q cJ ��229° ITI �/_S � C� • W Z. J Z/3 -Ud2Ai I. �vJr�OW N !✓� �7�6 /G A, i'�k, AM+ .:•:txr`�n+�...:yn�,.�_..f-...�wil'.�.,,•.""ZYt3^+ip�»y''rc°%+.r�..:-"Tr.'-i� 'r.'►ti^P'.•"..'�`i41s.+r.s'^^rn�+hx-.+r".�^.rr"'�d•►,t'�+.r�• yr+..•rrY►'�.j�,w �'rn---.,. ^�"kl��....-. ,�..--�1.,�i`.... .�w�. School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 0 b 9 00 -Dd l 'Building Department No. Jurisdiction: city County Property Location/AddressC_ r Subdivision Lot No. .................................................................................................................. Residential Development Sq. Footag e / 8 No ofjLiving Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection!: ................................................................................................................... Commercial/Industrial New Addition poor rians reviewea Dy acnooi uismct rersonnep Sq. Footage (Including Exterior Roofed Areas) Date r District Identification No. C� g ek �d C � In%ommv4 , i \ � _ School District certifies that m &A _ (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No.A t - n —I -ch �. by payment of $ �r\ q 3 Z representing t\^� 3 fj square feet. AB 2926 $ FULL MITIGATION E School District Repretentative Date Paid by Check # Remarks: ^ (e Q ,p C1 Notice: You may protest the imposition of the fees identified above by submitting a.written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit •. you from challenging the imposition of the fees in any court action. If`subsequent_to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (budding department), Pink (school district) feeform.xls I10/981dmm OERMIT NO.: #33-03 Lake Oroville AreaPublic Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 5 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION , BUILDING SEWERS This verification form must be submitted to the Butte County Department of, Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable:. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility. District, must be submitted to Butte County. Date: April 14; 2003 Applicant: Malamar Const.r.uction Applicant Address: P Q Box, 1001, Owatonna, MN 55060 Applicant Phone No.: 507-455-012 Property Locations(s): #3 �Ro.semel -Ct, Oroville, CA , Lot• . °l � - . , A.P. No.(s): 068-400-001 Fees due: $3176.00 Total as follows: Capacity Chi $1551:00 Connection.Fee $625.00 and SC -OR RFC $1000.00 Paid CK #3845 4-14-03 Application for service approved: LAWE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful tests) observed: ' Location: Date: By: ` Lake Oroville Area Public Utility District release to.close permit: Date: By: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2002-00 1 9 1 4 2 Recorded Official Records Countyy Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:55PM 15 -Apr -2002 REC FEE 7.00 CONFORM .00 Kathy Page 1 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, �L plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: Lot 01, as shown on that certain map entitled, "Melrose Estates", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 15, 2001, in book 151 of maps, at page (s) 15, 16, and 17. Date JUNE 8, 2001 State of California County of BUTTE On JUNE 8, 2001 PROPERTY OWNERS: MALAMAR CONSTRUCTION, INC . , A C NIA CORPORATION A� COM I. HALL, PRESIDENT before me, PENNY C. ENGLAND, NOTARY PUBLIC personally appeared MALCCIM I. HALL personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my nd and official seal. Signature C Seal: W ;f _ `t -Q0'- 00 1. PENNY C. ENGLAND Commission #1240914 Mfr CPS Notary Public Butte County, California My Com;nission Exp. DEC. 3, 2003